Membership Form

NAMI Membership Registration

Nigerian Association of Manitoba Incorporated

Family — $70

Single Adult — $40

Student — $20

Senior — $20

Full Name *

Email Address *

Phone Number

Membership Type *

Gender

Birthday (month & day only)

Home Address

Security check: What is 7 + 6? *

By registering you agree to pay your membership dues. Your information will be kept private and used only for NAMI membership purposes.