1. I desire to continue my AAM membership.

2. Members reporting less than 100 mediations (in your mediation history) must agree to one of the following:

3. In accordance with the membership renewal requirements of AAM, I certify that I have:
4. Insurance coverage requirement: (Please read and answer carefully as this is required by our insurance carrier).
5. I certify that I meet or exceed all of the aforementioned requirements for the AAM membership, and to the best of my knowledge, all information in my profile is true and correct. By my signature below, I also agree to adhere to these qualifications and I fully acknowledge that I am being granted membership renewal based on acceptance of these qualifications.
6. Please sign your name in the space provided. (You may use your mouse, stylus or finger to draw your signature in the box. No digital file upload required)