Please check the corresponding boxes below for the information you would like to receive from AIM for the Handicapped, Inc.
I would like to know more about: Please tell us a little more about yourself: Your Contact Information:
AIM Workshops I am: Name:*
AIM in my classroom Parent Email Address:*
AIM in nursing homes Teacher School / Other Business:
AIM Memberships Administrator Street Address:
Special Events Activity Director City:
Volunteer/Internships Other (Please describe): State:
Other Zip:
Other Comments: