To make a donation by mail or fax, please print out this form and send to: 

NAMI BC

Att: Brenda Carpenter

333 East St. Rm 417

Pittsfield, MA 01201

Fax: (413) 395-2018

We will not share your personal information.

 

Name: 

 

Street Address:

 

City, State, Zip:

 

Phone:

 

Fax:

 

Email: 

 

For newsletter and event announcements only. You may opt out at any time.

 

 

This gift is being given:

 

 

In honor of:

 

 

In memory of:

 

 

In celebration of:

 

 

Please notify a family member or friend about this gift:

 

Name: 

 

Street Address:

 

City, State, Zip:

 

 

My employer’s matching gift form is enclosed.

 

Thank you very much for your support of NAMI BC.

 

 

 

 

Please notify a family member or friend about this gift:

 

Name: 

 

Street Address:

 

City, State, Zip:

 

 

Method of payment: 

 

• Enclosed is a check payable to NAMI BC

 

• My employer’s matching gift form is enclosed.

 

Thank you very much for your support of NAMI BC.