I wish to be a member of the Region II chapter of the Idaho Mediation Association, Inc. (IMA state dues are to be paid separately and directly to the IMA.) Region II consists of the counties of Clearwater, Idaho, Latah, Lewis, and Nez Perce.

Enclosed is a check for dues for the current calendar year. Please make your check payable to 'Idaho Mediation Association Region II'.

Send this form along with your check to:

Kay Keskinen, Treasurer
Region II IMA Chapter
PO Box 9866
Moscow, ID 83843-0237

Dues are $10 a year for general members, while dues for students are $5 a year.

Region II IMA Chapter Membership Form


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