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Agency Membership Form

CT- AIMH is an association of professionals in CT who are concerned with the healthy social and emotional development of infants and young children.

Individuals can also become a member of CT-AIMH as part of an agency. A leader or director can register the agency as well as its members. Again there are two ways to register the agency:

 

1. For agencies registering 9 or fewer members: These agencies can register using the Electronic Submission Form embedded below. Upon clicking submit, you will be directed to our PayPal page where you can pay by credit card. Please see the fees listed below.

Note: If you you are not paying by credit card, do not use the electronic submission form.

 

2. For agencies with more than 9 members (or those who wish to pay by check): please download the Agency Membership Form here. Complete the form and mail it along with a check for the appropriate amount to CT-AIMH (see complete address below).


CT Association for Infant Mental Health
Attn: Linda Isakson
230 S. Frontage Road
New Haven, CT 06520

 

CT-AIMH Agency Membership Fees

Agency with 4 members: $90
Additional agency members: $20/person

Questions? Please call: 203-737-6422

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  • Agency Members

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  • Additional Agency members will be charged $20/person

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