Home Membership

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Download a printable membership form here
To join online at nami.org, click here
Membership renewals: click here

NAMI Ventura County

National Alliance on Mental Illness

Membership Form

Yes, sign me up.  Let’s work together to improve the quality of life for everyone affected by mental illness in Ventura County.

Name: ________________________________________________________________
                              First name(s)                                                           Last name

Address: _______________________________________________________________
                                                                            Street address

______________________________________________________________________
                               City                                                              State                         Zip

Telephone: ________________________  Email: ______________________________

Your membership in NAMI Ventura County increases its ability to run programs and to advocate more effectively on behalf of persons suffering from mental illness.

Membership is from January 1st to December 31st of the current year.

Your annual dues below include:
     $10 for membership in NAMI National and the quarterly newsmagazine, The Advocate
     $10 for membership in NAMI California and the quarterly newsletter, The Connection
     the monthly NAMI Ventura County newsletter

______ $40.00  Family                                ______ $30.00  Single

______ $50.00  Silver                                 ______ $100.00  Gold

______ $5.00  Open Door
              (available to anyone who cannot afford to pay full membeship)

Make checks payable to NAMI Ventura County

Mail to:

NAMI Ventura County
P.O. Box 1613
Camarillo, CA 93011-1613

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