| ___$30 Family Membership | ___$5 Consumer Membership |
| ___$20 Individual Membership | ___$50 Sponsor |
| ___$100 Patron | |
Contribution to the Scholarship Fund $_________ |
|
We also maintain an open door policy for any individual who cannot afford to pay.
Your membership is tax deductible and includes membership in the state and national chapters of NAMI
Membership is not required to use our services.
| NAME | ___________________________________________________________ |
| ADDRESS | ___________________________________________________________ |
| CITY and ZIP Code | ___________________________________________________________ |
| TELEPHONE | ___________________________________________________________ |
Please make your check payable to NAMI Bergen County, Inc.
Mail to our office address:
NAMI Bergen County, Inc.
304 Valley Boulevard, Room 30
Wood-Ridge, NJ 07075