Support the Youth Empower Alliance

Support the Youth Empower Alliance
For the mail-in version of this form, please click here.
Your current contact information:
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email**
example@example.com
*I would like to receive email updates from NAMI.*

YesNo
Volunteering
Please indicate if you'd be interested in volunteering with us (optional):

I am interested in becoming a volunteer.
Memberships

Support YEA by becoming a member.
Type of membership
Membership is not required to attend our support groups or classes. However, there is strength in numbers and together we can make a difference. Your tax-deductible membership brings many benefits for our affiliate and yourself.
- You become a part of an organization that is dedicated to improving the lives of people living with mental illness.
- Your membership helps support our efforts to provide free support, education, and advocacy.
- You receive discounts to State and National NAMI conferences and conventions.
- You'll receive access to free resources:
  - NAMI Illinois Voice
  - NAMI National Advocate Newsletter
  - Library privileges to our extensive collection of books, video tapes, and CDs in our NAMI Library located at our offices in Crystal Lake.
- If you decide to volunteer to facilitate one of our programs you receive free training through our State and National organizations.
- You become a part of the nation's largest grassroots mental health organization. NAMI is well respected throughout the United States as the expert in helping all citizens to learn about Mental Illness.
Name of person that the membership is for (if not you):

First NameLast Name
One Year Membership (please select):

Type Individual membership ($40.00)Household membership ($60.00)Open Door membership ($5.00)
Donations
Employer matching (optional):

My employer will match my gift. Please contact me for information
Is this donation in honor of someone? If yes, please provide their name, reason (ex. birthday, memorial, etc...), and contact information for anyone that you would like to receive a notification.
My total for membership and donation for the Youth Empower Alliance (please enter dollar amount):
Total ($USD)

Total

USDDonation for Youth Empower Alliance

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Support the Youth Empower Alliance

Volunteering

Memberships

Donations