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

Choose the type of membership: The following membership fees include dues to NAMI National, NAMI Illinois and your local affiliate.  If you are on a limited income, you qualify for the Open Door Membership Program, which allows you to join for an amount which you can afford.  

Consumer $ 3.00            Individual/Family $35.00                   

I am on a limited income, and can afford to pay $                             

What is your relationship to mental illness? (Optional)

Self                 Child               Parent                     Friend

Sibling             Professional    Spouse             Other

Contact Information

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.