1. I desire to continue my AAM membership. (Select one of the 3 below) *
2. Members reporting less than 100 mediations (in your mediation history) must agree to one of the following: You need to check (a), (b), or (c) - unless this does not apply to you for one of the two reasons indicated. If not applicable, please check the reason why.*
3. In accordance with the membership renewal requirements of AAM, I certify that I have: Please check ALL that apply * *
4. Insurance coverage requirement: (Please read and answer carefully as this is required by our insurance carrier).

Do you know of any circumstance, act, error, omission, or personal inquiry that could result in a claim or suit against you or AAM arising out of the conduct of arbitration proceedings or dispute resolution services? If your answer to this question is Yes, contact the AAM office with details of the circumstance, act, error, omission or personal inquiry information. *
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. Please choose one. *
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)
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