NAMI PA Wilkes-Barre Area Chapter

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Please Print Out and Mail Form

Thank you!

NAMI has an open door policy. No one will be denied membership because of inability
to pay membership dues.

Join Us
All members receive newsletters from NAMI PA Wilkes-Barre, NAMI PA, and NAMI National.

Membership is open to any interested individual, family or organization. Please complete the form below:

MEMBER OPTIONS:

Family/Individual ($35.00) ____________

Open Door member ($3.00)______________

Professional ($50.00)_____________

Contribution - Thank you!______________

Names(s) ______________________________

Address________________________________

City________________________State______

Zip_______________Phone _______________

E-Mail_________________________________

Please make check payable to:

NAMI PA Wilkes-Barre

Send to:

NAMI PA Wilkes-Barre Treasurer
1070 Lower Demunds Road
Dallas, PA 18612-9074



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