How do I join NAMI-Fairfield?

[   ]  Individual/ Family/ Friend                   $30.00

[   ]  Open Door (Limited Income)             $3.00

All dues include membership in the local chapter and in NAMI-CT, subscriptions in the NAMI Connecticut Newsletter and the NAMI National Advocate, and notices of area meetings and conferences.  Membership is confidential.

Name________________________________________

Title & Agency_________________________________

Home Address_________________________________

Business Address_______________________________

Home Phone____________Work Phone____________

Fax___________Email__________________________   

Please make checks payable to NAMI-Fairfield and mail to NAMI-Fairfield, 148 Beach Road, Fairfield, CT 06824.  All donations welcome. 

Please join us!