New Member Form

NARMH Membership

First Name:
Last Name:
Organization
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Organizational Membership - $175
- One individual will be the primary contact for the group
- Five individuals will be allowed to be part of the group including the primary contact
- All group members will receive RMH
- All group members will receive selected mailings
Large Group Membership - $350
- One individual will be the primary contact for the group
- Ten individuals will be allowed to be part of the group including the primary contact
- All group members will receive RMH
- All group members will receive selected mailings
Sponsor Membership - $1000
- One individual will be the primary contact for the group
- Fifteen individuals will be allowed to be part of the group including the primary contact
- All group members will receive RMH and other mailings
- Sponsors would be identified on certain correspondence as sponsors/supporters of NARMH
- Sponsors will receive a plaque
- Sponsors will be given free exhibit space at the annual conference
- Sponsors will be provided with a free ad per issue in RMH

$1,000 Sponsor Membership (up to 15 staff)
$350 Large Group Membership (up to 10 staff)
$175 Organizational Membership (up to 5 staff)
$65 Individual Membership
$30 Retired Membership
$30 Student Membership
$30 Consumer Membership

I would like a NARMH membership certificate sent to me in the mail. YesNo

Donation

Additional contribution to help with work in promoting rural mental health and in developing, enhancing and supporting mental health services and providers in rural areas.