NAMI Fresno Membership Application If you are interested in NAMI Membership, Please fill out the form below and Mail it to: NAMI Fresno P.O.Box 5438, Fresno .Calif. 93755-5438

Name:________________________________________________

Address ______________________________________________

City_______ ____________________Zip___________________

Phone:________________________________________

e-Mail:______________________________ _____

Membership/Year (Jan 1 thru Dec 31 of each year)________ $35.00 Family Membership

$50-200+ Professional or Sponsoring Membership___________

Donation

Memorial Gift for Friend or Relative, $ ________________

Donation $_____________________________

Please add me to the mailing list ______ 

Your Contribution is Tax Deductible Thank You For Your Support