Membership

How to Become a Member

The Iowa Immunization Coalition is looking for bold thinkers who can help us promote immunizations to Iowan’s of all ages. You can join us as an individual or part of a larger organization. Together we can make a difference. And help Iowa become a healthier state. Membership dues are $100 and can be paid using a credit card from this website. Please complete the form below to become a member today.

For mail in registrations and payments print, complete and mail (with payment) the PDF version of the registration form. PDF Membership Registration Form

The Iowa Immunization Coalition is looking for bold thinkers who can help us promote immunizations to Iowan’s of all ages. You can join us as an individual or part of a larger organization. Together we can make a difference. And help Iowa become a healthier state. Membership dues are $100. If you are interested in becoming a member today, please complete our online form from your office or home computer, or contact the Iowa Immunization Coalition at [email protected].

If you would like for us to send you a reminder to become a member, please enter your email address.

Full Name

Membership type

Individual

Organizational

E-mail

Home number

Work number

Cell number

Address

Please Check (double check) all that apply to your agency affiliation, if applicable:

Local Government/Public Health

Private Agency

Faith-Based Organization

Social Service Agency

State Government

Pharmacy

Business

Foundation

Healthcare Organization/Clinic

Healthcare Association

Vaccine Manufacturer

Education Institution Other

Please specify (double-check) your occupation, if applicable:

Nurse: RN/LPN

Wellness Coordinator

Physician

Mental Health Provider

Pharmacist

Social Worker

Educator

Administrator

Other

Nurse Practitioner

Physician Assistant

Certified Medical Assistant

What are you most interested in gaining from your participation in the coalition?

Adults

Shots are not just for kids. Everyone needs to be vaccinated so they can stay healthy no matter their age. It’s because your immunity from childhood vaccines can wear off, and there are many adult diseases . . . Read More

Teens

Making sure your teen is caught-up with all of their vaccines will protect them from many infectious diseases. Talk to your doctor about what type of immunizations your teen needs. Below is a list of diseases . . . READ MORE

Kids

Kids from birth to 12 years old are particularly vulnerable to infectious diseases. That’s why it’s very important to protect them with the right immunizations. These immunizations will help prevent the spread of disease . . . READ MORE

Become a member

The Iowa Immunization Coalition is looking for bold thinkers who can help us promote immunizations to Iowan’s of all ages. You can join us as an individual or part of a larger organization. Together we can make a difference. And help Iowa become a healthier state.

MEMBERSHIP

Make a donation

A gift of any size will help support our mission of raising awareness and educating Iowan’s of all ages about the importance of getting vaccinated. With your help we can make Iowa healthier today and in the future. Thank you for your support.

Donate Now

Upcoming Events

Here are the Coalition’s upcoming events

[email protected] Iowa Immunization Coalition