EmailMeForm
Verify your membership with NCADV
This form may be used to verify current, active membership with NCADV or your membership number, or membership expiration date.
If you are NOT a member of NCADV, but wish to become one, please visit
www.ncadv.org/stay-connected.
Note: completing this form does not mean you are joining or renewing as a member of NCADV.
Please fill out the form as completely as you can as the more information we have, the better.
Once we receive this form from you, we will check our database and respond via email within three (3) business days with more information.
If you have questions about Membership not found on
NCADV's website,
please EMAIL
membership@ncadv.org
.
Thank you,
The NCADV Membership Team
Are you inquiring about an Individual membership or Organizational Membership?
*
Individual
Organizational
First and Last name of the person under which the membership is listed:
*
First
Last
Organization Name (if applicable). No acronyms please!
Member Number (if known)
Address of Member agency
or
address of individual member
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Your email address
*
Confirm
Month and year of last membership payment to NCADV, if known.
MM
/
YY
Please check all that apply
*
I would like to know if I am/we are a current, active member of NCADV
I would like to know my Member number
I would like to know the expiration date of my membership with NCADV
If you have questions about membership with NCADV beyond what is listed here, please email membership@ncadv.org or visit
www.ncadv.org/stay-connected.
