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To join NAMI at all three levels (national, state and local) print this form, complete all applicable information, enclose a check in the amount of $35.00 made payable to NAMI Kankakee County, and mail to: NAMI Kankakee County, 1335 Jerome, Bradley, IL 60915 Should you have any questions, please feel free to contact Dave at 815-933-6871 or the state office at 217-522-1403
Name Title Agency Address City State Zip Code Email Phone Fax Please print out this form at home and mail with your payment to: NAMI Kankakee County 1335 Jerome Bradley, Illinois 60915 Please make your check payable to NAMI Kankakee County. Your name will be forwarded to the National and State organizations. |