Join NAMI Guilford

Primary Member Name*

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Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Secondary Phone

Email*

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Choose Membership Option*

Individual Membership ($40)
Open Door Membership ($5) for those with limited budgets
Household Members

Choose either Individual ($40/$5) or Household Membership ($60). In addition to the individual membership options, NAMI offers a Household membership option for those with more than one individual residing at the same address. With the household membership, each listed member of the household will be full members of NAMI, NAMI North Carolina and NAMI Guilford. The household membership will only receive one copy of the NAMI publications, but most other member benefits are granted to each listed member.

Additional Household Members

First Name	Last Name	Email	Phone Number

Please provide a list of additional member names and emails for those who will be included in this Household Membership.

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