Gift A Membership

Use this form to gift a membership to your intended recipient to allow them to become a member of NAMI Contra Costa today. Add their names to the list of hundreds raising their voices to demand services, support, and respect for those living in Contra Costa County affected by mental health conditions. NAMI Contra Costa membership demonstrates your support for the important work being done at NAMI and helps us make our voice heard in Contra Costa, in Sacramento, and in Washington DC.

Our Individual Membership rate is $40 annually. We also offer Household Membership for $60 annually. A household consists of any individuals living at the same address. We believe financial hardship should never keep anyone from being a member. Therefore, we have an Open Door Membership available to those with limited resources at just $5 per year.

Benefits of a membership include continued support of NAMI CC’s free programs to all those in need, a copy of our monthly newsletter, subscription to the NAMI Advocate magazine, discounts on resources in the NAMI store, discounts at NAMI’s Annual Convention, full access to all the information and features on the NAMI National website. Your membership with NAMI Contra Costa includes both state and national memberships as well!

Membership Gifting Form

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Payee Name

First

Last

Payee Email

Payee Address

Address Line 1

Address Line 2

City

State

Zip Code

Recipient Information

Please fill out the recipient's full name, physical and email address. If you are gifting a family membership, please add in the other family members' names in the message box. Thank you!

Membership Recipient Name

First

Last

Membership Gifting Options

* Household Membership - this membership applies to everyone living in a single household whose names are provided to NAMI. Regular and Open Door memberships will continue to apply only to one individual. ** Open Door Membership - available to anyone on a limited income. No questions asked. For voting purposes, each membership (including Household) will be counted as one (1) membership.

Recipient Address

Address Line 1

Address Line 2

City

State

Zip Code

PayPal Commerce

Card Number

Expiration Date

Security Code

Card Holder Name

Comment, Message, or Additional Household Members

Please add in any comment, message, or additional household members that you were unable to list.