Join IMUSA


Please complete the form below and hit the continue button. You will then need to print off the completed membership form and return it along with your cheque to the address below.

Enter your Personal Details - * = required field
Surname* :
First Name* :
Address 1* :
Address 2 :
Address 3 :
Town* :
County :
Post Code* :
Country* :
E-Mail* :
Contact Number :
DOB
(dd/mm/yyyy)* :
Membership Number
(existing members) :