Thank you for your interest in the Iowa Association for Infant and Early Childhood Mental Health!

The cost of an annual membership is $30 and covers the period July 1st through June 30th. Those joining during the last six months of the membership year (between January and June) receive a half-year rate of $15. Students receive a discounted rate of only $10 with a copy of your student ID.

We are not able to take credit card or debit card payments at this time. Please make checks payable to IAIECMH and send to the following address:

c/o Pat Rogness, Treasurer
1111 University Ave.
Des Moines, IA  50314

* 1. Please indicate your membership category:

* 2. Please indicate membership status:

* 3. First Name:

* 4. Last Name:

* 5. Email address:

* 6. Organization Name (if applicable):

* 7. Street Address:

* 8. City:

* 9. State:

* 10. Zip Code:

* 11. Degree(s) if applicable:

* 12. Profession: (Please indicate which role best describes your interest in early childhood mental health)

* 13. We encourage you to play an active role in our organization! Please indicate below which opportunities you would like to learn more about:

* 14. Please indicate the area(s) of specialty that interests you:

* 15. Would you like to have your name, contact information, and specialty areas listed in our online membership directory?

* 16. Payment options: