HomeMy WebLinkAboutiimc International Institute of Municipal Clerks
8331 Utica Ave, Suite 200
.= Rancho Cucamonga, CA 91730
Phone: (909) 944-4162 / Fax: (909) 944-8545
Website: www.iimc.com
t Renewal Notice
03/31/2017
Vicki Conlin Annual Membership fee through 06/30/2018
City Clerk
City of Jeffersonville FULL MEMBER
500 Quartermaster Court, Ste 156 Annual Membership Fee 200.00
Jeffersonville, IN 47130 Continuing Prof. Development 25.00
Late Fee 15.00
(If not paid by 06/30/2017)
If you would like to add someone as a Member of IIMC, you may add $100.00 to this renewal and list their name, title and
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If you are not paying this invoice because you are retiring within the next 30 days, please consider an IIMC Retired
Membership for only$25.00 a year. IIMC services and benefits will continue without interruption. If you have a CMC or
MMC, you will continue to use it behind your name. Fill in the information below and return it to IIMC with $25.00. If you
plan to retire sometime within the year, please call IIMC so that we may prorate your dues for this renewal period.
Date of Retirement: Who will be replacing your position?
Your Home Address/City/State/Zip:
Your Home Email Address: Your Home Phone:
71st IIMC ANNUAL CONFERENCE - MONTREAL, CANADA
Sunday, May 21, 2017 to Wednesday, May 24, 2017
PLEASE RETURN THE BOTTOM PORTION WITH YOUR PAYMENT TO:
IIMC, 8331 Utica Ave., Ste 200, Rancho Cucamonga, CA 91730, (909) 944-4162
Dues payments to IIMC are not deductible as charitable contributions for federal tax purposes.
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PLEASE RETURN REMITTANCE STUB
Annual Membership Fee 200.00
ID#: 31859 FULL MEMBER Continuing Prof. Development 25.00
Vicki Conlin Late Fee
City Clerk 15.00
(If not paid by 06/30/2017)
City of Jeffersonville
500 Quartermaster Court, Ste 156
Jeffersonville, IN 47130
03/31/2017 Annual Membership fee through 06/30/2018
Work Phone: (812) 285-6496 Fax: Home Phone: (502) 645-4010
Cell Phone: Population: 45,000 Web Site: www.cityofjeff.net
E-Mail Address: vconlin@cityofjeff.net Home E-Mail Address:
Pay by: MC/Visa/AE Card # Exp Date: Amount Charged $
If any of the above information is incorrect, please check this box and make changes.