Register for Pink Ladies Mammo Club!

Membership Benefits

  • Monthly Visits
    As a member, you will receive a membership card in the mail. Each month, you are welcome to stop by AMI for a free gift. This also serves as reminder for monthly breast self-exams.
  • Mammo Appointment Times
    Bring your membership card with you to your mammography appointment and you will be eligible for monthly drawings and a free gift at the time of your appointment.
  • Survivors Club
    If you are a Breast Cancer survivor we want you to know how special you are to us. We have a special "Survivors Club" for you. When you schedule your mammogram, just mention you are in the survivors club and we will have something special waiting for you a the time of your appointment. You will be treated as a VIP.

Please complete the following form to register for the Pink Ladies' Mammo Club:

Name
FirstLast
Date of Birth
Age
Phone
Employer
Address
Are you a breast cancer survivor?