Join NAMI|Idaho
Become a member of NAMI, NAMI Idaho and your local affiliate
Name_________________________________________________
Address_______________________________________________
City, State, Zip __________________________________________
Phone ____________________________
E-mail____________________________
My local NAMI Affiliate is____________________________________
Membership Type (Check One)
____ Individual/Family Membership ($35 Annual Dues.)
____ Open Door Membership ($3 Annual Dues.)
(Full membership for individuals and/or families on limited income. )
____ I want to make a tax-deductible donation to NAMI Idaho.
Optional Information:
I am: ___An Individual Living with Mental Illness
___A Family Member
___A Friend
___A Mental Health Professional
___Other ___________________
Print Application and mail with check payable to NAMI Idaho to:
NAMI Idaho * 4097 Bottle Bay Rd. * Sagle, ID 83860
or
Treasurer, NAMI Idaho * 1985 E. 25th Street * Idaho Falls, ID 83404
NAMI Idaho is a 501(c)(3) corporation