NAMI Illinois Dues Worksheet

Please complete and attach to Completed Membership roster

NAMI National Dues:

Total Renewals:                                                   @        $10.00=           $         

Total Consumer Renewals                                  @        $ 1.00=            $         

Total Additions                                                     @        $10.00=           $         

Total Consumer Additions                                  @        $ 1.00=            $         

ODM                                                                       @        $ 1.00=            $         

Totals:

            Total Members            

            Total NAMI National Dues Sent           $         

NAMI Illinois Dues:

Total Renewals:                                                  @        $15.00=           $         

Total Consumer Renewals                                @        $ 1.00=            $         

Total Additions                                     @        $15.00=           $         

Total Consumer Additions                                @        $ 1.00=            $         

ODM                                                        @        $ 1.00=            $         

Totals:

            Total Members            

            Total NAMI Illinois Dues Sent  $         

Grand Total:  total NAMI National and NAMI Illinois Dues:     $