join IMC

Membership in the Idaho Midwifery Council runs from January 1 to December 31 of the current year, with renewal due on January 1 of the next year. Benefits of membership include but are not limited to periodic newsletters, access to statewide networking and discounts on IMC sponsored conferences and workshops.

Contact Information

Name
Street Address
City, State, Zip Code
Home Phone
Work Phone
Cell Phone
Fax
E-Mail Address
Website address
idahomidwives.org listing	Include my listing on “Find a Midwife” page: ___ Yes ___ No
IMC Newsletter preference	____ Email (preferred) ____ Printed

Who are you in Midwifery? (Please check all which apply.)

___ LM, Idaho	___ CNM	___ Student	___ LM, other state
___ CPM	___ DEM	___ Doula/CBE	Specify:

Membership type and payment: Current membership is January 1 – December 31.

___ Voting member, open to midwives and student midwives		$35 per year
___ Non-voting member		$15 per year
Payment should be made out to Idaho Midwifery Council and may be submitted by:
___ Check	___ Money Order	___ Paypal, by online payment

Submit application

Submit your completed application with payment: ___ by mail to Kendra Scarlett, 388 Coyote Way, Bonners Ferry, ID 83805 ___ by email to Kendra Scarlett at zfreen@me.com. NOTE: if you purchase your membership by Paypal, be sure to send completed form to Kendra.

Online payment option:

Contact Information

Who are you in Midwifery? (Please check all which apply.)

Membership type and payment: Current membership is January 1 – December 31.

Submit application