CIMS Annual Organization Membership Form

Be a part of our collective effort to realize evidence-based maternity care by adding the voice of your organization to the Coalition for Improving Maternity Services (CIMS) as an Annual Organization Member.

2010-2011 Organizational Member Benefits

• Raise awareness and demand for evidence-based care by adding the voice of your organization to the nation’s only coalition of maternity care providers, childbirth organizations, birth advocates and consumers.
• Be visibly recognized on the new www.MotherFriendly.org web site.
• Be part of CIMS service projects, such as a coordinated calendar of all CIMS Organizational Member events on the CIMS web site.
• Be highlighted in and receive the e-CIMS newsletter.
• Receive product discounts (including bulk orders).

Join CIMS today as an Annual Organization Member by returning your payment along with a completed Organizational Membership Form [PDF] or complete the form below to join online with a credit card.

I choose the following membership category:*

Membership* Levels:	2011 Membership Fee:	Recommendations:
Grassroots Member	$100 - $499	Recognition on the CIMS website with link placement to your organization’s home page.
Advocate Member	$500 - $999	Recognition on the CIMS website with link placement to your organization’s home page plus one graphic placement in e-CIMS News in 2011.
Leader Member	$1,000 - $5,000+	Recognition on the CIMS website with link placement to your organization’s home page, one graphic placement in e-CIMS News in 2011, plus one graphic placement on the CIMS home page for up to 30 consecutive days in 2011.

*CIMS has a non-voting membership according to our bylaws
The 2011 organizational membership year runs from Jan. 1, 2011-Dec. 31, 2011.

Organization Name:*

Contact Person:*

Title:

Address:*

City:*

State/Providence:*

Zip:*

Country:*

Telephone:*

Fax:

Email:*

Website:



One-time credit card payment of
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