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NAMI-Williamsburg Area Yearly Membership Application/ Contribution Form

 

A great NEW way to join or renew your Membership!

 

Simply go to www.nami.org/join

 

If you are rejoining (or canÕt join by computer), simply fill out the section below and mail it to:

 

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I (We) wish to rejoin (or join) the National Alliance on Mental Illness- Williamsburg Area:

 

 

Individual/Family $35                                                   Professional Individual $35.

 

Professional Organization $100.

 

Consumer/Open Door (Limited Income) $3 minimum per year

 

I WISH TO SUPPORT THE WORK OF THE ALLIANCE on MENTAL ILLNESS (NAMI) TO IMPROVE THE QUALITY OF LIFE, AND TO AFFECT THE RECOVERY OF PERSONS WITH SERIOUS MENTAL ILLNESSES. I HAVE ALSO ENCLOSED MY TAX-DEDUCTIBLE DONATION OF $_____________.

 

Dues ___________ + Contribution ___________ = $_____________

 

 

Name __________________________________________ Date __________________________

 

Address ______________________________________ City _________________ State ____ Zip ___________

 

Telephone _____________________________ E-mail ________________________________

 

Make checks payable and mail to:

NAMI-Williamsburg Area, P.O. Box 89, Williamsburg, VA 23187

 


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