Join us today!

Please print, complete and return the following form if you: 

  • Are interested in supporting us in our efforts to improve the lives of people with mental health issues and their families in Mendocino County through education, support and advocacy
  • Would like to be informed about what is happening with regard to mental health issues at the local, state and national levels by receiving regularly published NAMI newsletters

Print this page (only the part below will be printed) and send it to the address below along with a check for the amount indicated on the form. Please indicate on the form whether you are interested in receiving email regarding local NAMI information and events.

Your support is greatly appreciated. Thank you.
NAMI Mendocino County

 

NAMI membership form

Mendocino County
P.O. Box 1154, Ukiah, CA 95482

 

Name______________________________________________________________

 

Address____________________________________________________________

 

Phone:____________________________________________________________

 

E-mail_____________________________________________________________

 

  Check here if you wish your personal information to remain confidential and not be included on any public NAMI directory.

My contribution is for:

  Membership ($35/sliding scale).. $______

  Donation................................ $______

  Total................................... $______

Make checks payable to NAMI.

Check here if you would like to be contacted about volunteer opportunities.

We thank you for your support!

 

© NAMI, Mendocino 2008