NAMI Lane Co. Lane Co.
 
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from NAMI.org
Go Vote. Mental Health Care Depends On It. Get to know your candidates before you go to the polls. They can have a big impact on health care.
The Village: Opening Doors for Those in Need
Trying to Test for Psychosis Risk
Culturally Competent, Clinically Relevant
-more at NAMI.org-
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 NAMI of Lane County membership application

 

Print this page or download document below (see "Related Files"). Please fill it out and send to:

NAMI Lane County
76 Centennial Loop, Suite A
Eugene OR 97401

Annual membership gives you:

  • Our local, informative monthly newsletter
  • State and national membership newsletters
  • An effective advocacy on vital issues
  • Representation on local and state boards

Please mark an 'X' on the appropriate line

  • ___ Voting member ($35/yr)
    A relative/guardian of mentally ill persons or those persons themselves.
  • ___ NAMI of Lane County newsletter only ($15)
    Available only to members of an NAMI group outside of Lane County
  • ___ Low Income Membership ($3)
  • ___ Sponsors ($100)
  • 1 year Company/Association membership
  • ___ General Donation
  • ___ NAMI of Lane County Foundation
  • ___ Gift in memory of______________.
  • ___ Do not want gift recognized publicly

Name ______________________________________

Address ___________________________________

City, State, Zip___________________________

Phone number ______________________________

 

NAMI of Lane County, Inc.
76 Centennial Loop, Suite A
Eugene OR 97401
Phone:(541)343-7688

Email: office@namilane.org

A United Way Agency

Page updated February 16, 2012.   
by Larry Cummings    


Related Files

Membership Form (PDF File)

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