National Alliance on Mental Illness
page printed from NAMI Greater Cleveland
To join on-line ($35 membership only) click the E-join link at
bottom of this page. Or print this form and mail to us at:
NAMI Greater Cleveland * 2012 West 25th Street, #600, *Cleveland, Ohio 44113
216-875-0266 Fax: 216-861-2574 www.namigreatercleveland.org
Date_________
Name_______________________________________________
Organization__________________________________________
Address______________________________________________
City, State, Zip_________________________________Email____________________
Telephone: Day ___________________________ Evening_____________________
As a member of NAMI Greater Cleveland, you will receive the following benefits:
*Receive current and pertinent information through our quarterly newsletter
*Membership in NAMI Ohio and receive their publication News Briefs
*Membership in NAMI National and receive their publication The Advocate
*Discounts on selected workshops and conferences
*Access to our resource library that contains current books, pamphlets, videos and other resource materials about mental illness.
*Become a part of the solution, by helping to change public perceptions regarding mental illness through supporting our important advocacy and public education initiatives.
Membership $35.00 _______
Open door policy* $ 3.00 _______
Additional Donation _______
TOTAL: _______
* Open door membership available for people with limited financial resources.
Please make checks payable to: NAMI Greater Cleveland, 2012 West 25th Street, # 600, Cleveland, OH 44113 or complete the information below for MasterCard, Discover, VISA or American Express Credit Card.
Credit Card Type: MasterCard Discover VISA American Express
Credit Card Number:_______________________________________
Expiration Date: _________
Signature: __________________________________________
THANK YOU FOR YOUR GENEROUS SUPPORT!
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