Member Application
Please fill out the information fields below if you are interested in becoming a NAMI member.
First Name
Last Name
Address #1
Address #2
City
State
Zip
Email Address
Telephone
Please choose one of the following membership categories:
Affiliate Membership:
(consumers, family members, and friends):
$35 annual dues
National Associate Professional Membership ($50 minimum contribution)
Members in this category receive all the benefits of national membership as well as a membership certificate and complimentary NAMI brochures with a display stand. Please check one of the boxes below if it applies to your profession:
I am a clinician.
I am a researcher.
I am a lawyer or legal advocate.
Any questions or comments?
There is no need to submit payment at this time. After you submit your information, a NAMI representative will contact you to answer any questions you may have and to arrange for payment.