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Become a Member / Renew Your Membership

Fill out the registration form below to become a member of the Nebraska Association for Infant Mental Health. We accept payments through PayPal's secure checkout process or you can download the application form and mail it to us.

New User Registration

If you are using the paper form, please print and mail your check and membership form to the address below:

Make checks payable to: NCFF  

Nebraska Children and Families Foundation
Attn: Nebraska Association for Infant Mental Health Membership
215 Centennial Mall South, Suite 200
Lincoln, NE 68508

Membership Type
Credit Card Information
Visa MasterCard American Express Discover

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged

NAIMH Membership Application

The mission of NAIMH is:

  • To promote and support nurturing relationships for all infants, toddlers, and young children (0 to 5).
  • To provide a forum for interaction and study among professionals, students, and parents.
  • To advocate for application of infant mental health principles for services to infants and young children and their families.
  • To distribute educational materials that promotes an increased understanding of infant mental health issues.
First Name *
Last Name *
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City *
State/Province *
Postal Code *

Additional Agency memberships — please list here: