NAMC Membership Application Form

NAMC Membership Application

Sign-up for your FREE membership in the Nigerian-American Multicultural Council by completing the form below; completing the below will also sign you up to receive our emails and periodic online newsletters.
Title
Name*

First NameLast Name
Suffix
E-mail*
Mobile Phone Number*
Please enter a valid phone number.
Complete Address (Please do not include if not complete)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender*
Birth Date

MonthDayYear
Birth Date

MonthDayYear
Country of Origin/Ancestry
Employer
Occupation/Profession
Years of Professional Experience (in years)
Committee Interest

Education and MentorshipGalaHouston AfriFESTMarketing/PRRoundtableOutreachFundraisingCivic and Community Affairs
Program Interest

RoundtablesNetworking and SocialsHouston AfriFESTDance and FitnessCultural EducationMentoringOther
Where did you hear about us?

Friend or ColleagueOnline Search (e.g., Google, Bing)InstagramFacebookTik TokNAMC WebsiteNAMC EmailsAdvertisementOther
Preferred way to be contacted*

Phone (call)Phone (text)EmailAny
Thank you for joining NAMC Houston!
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