Please ensure Javascript is enabled for purposes of website accessibility
 

AMISA Supporting Partner Application

Thank you for your interest in becoming a Supporting Partner of AMISA. We look forward to working together and thank you for your support of our organization and our region. ​

Please complete the form below and Submit. Upon receipt of your application, we will review your application and if approved we will invoice you for the annual membership fee.

Our membership year runs from July 1 - June 30 each year.

Part I: Partner Information

Application Submission for: (July 1- June 30)
Select your desired Supporting Partnership Level:
Upload Company Logo

Logos should be square images (ie. 200px x 200px)

File types supported for upload: JPG, PNG, GIF, JPEG, JPE, JFIF, BMP, HEIC, HEIF, TIFF, TIF, WEBP, JPEG 2000 and RAW.