| NAMI
Greenville, SC
2320 E. North St., Ste. L
Greenville, SC 29607-1250
____Renew Affiliate Membership ____New Membership _____Donation
Full
Membership for Local, State, & National: __$35 Affiliate __$5 Consumer
Enclosed is
my gift: __$35 __$50 __$100 __$200 Other $______
I am paying
with: __Check __Visa __MasterCard __Discover __Other
Credit Card
# is: ________________________
Expiration
Date: ___/___/______
Signature:
_________________________________________________
MEMBERSHIP
FORM:
Name
____________________________________________________________
Address ______________________________________________ Apt.# ______
City ________________________________ State ___ Zip
________-______
Phone #s (_____) _____-________, (_____) _____-________
First Name
(or Names) of Consumer ____________________________________
E-mail Address _____________________________________________________
Total Amount
Enclosed $_____________________________________________
Your
Contribution to NAMI
Greenville is tax deductible as provided
by law. NAMI is a not-for-profit 501 (C) (3) organization. Make
Checks/Credit Card donations out to NAMI Greenville.
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