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Join NAMI San Gabriel Valley Today!
NAMI San Gabriel Valley relies on its membership and your generous contribution to continue providing support and services to people with mental illness and their families.
If you would like to join NAMI San Gabriel Valley and/or make a contribution, print out the following form and mail with your check payable to NAMI San Gabriel Valley.
Mail to:
NAMI San Gabriel Valley
Attn: Membership
2550 E. Foothill Blvd. #135
Pasadena, CA 91107
Name: ___________________________________________
Phone: (home)______________ Phone(work):_____________
Address: _________________________________________
Street
________________________________________________
City/State/Zip
In a directory for distribution to SGV NAMI members only, may we include your:
Address?____________________ Phone No?__________________
Signature?______________________ Date?____________________
Activities you would like to participate in:
( ) NAMI Office ( ) Caring/Sharing ( ) Educational Series ( ) Fundraising ( ) Homeless/Missing Clients ( ) Hospitality ( ) Legistlation ( ) Media Watch ( ) Membership ( ) Newsletter ( ) PCC Mentor for M.I. Students ( ) Programs ( ) Publicity ( ) Religious Outreach ( ) Socialization ( ) Speakers Bureau ( ) Special Events ( )Other
I would like to join NAMI San Gabriel Valley at the following level:
_____ Regular Membership–$35-$99 _____ Patron Member-$100-$299
_____Benefactor-$300-$499 _____ Newsletter only–$15
_____ Life Member-$500
_____ Donation (amount) $ _____ ______ Supporting Member-$5
To contact or visit us:
2550 E. Foothill Blvd. #135
Pasadena, CA 91107
Phone: (626) 577-6697
Fax: (626) 577-0381
Web Site: http://nami.org/sgv
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