We'd love to showcase you in our membership campaign ads! Once you give us the green light, we will need the following from you:

  • Your Media Release
  • Your top 6 SIIM benefits; We'll pick 3 out of them for the banner ad.
Thanks for supporting SIIM!

Name(Required)
Choose 6 SIIM Benefits(Required)
Media Release(Required)

Please review the Media Release statement and click on the box above to consent. We will be happy to update your preference in My SIIM Account. We'll need your consent for the Media Release to participate in the membership campaign.

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