Contributions / Underwriting Form

Please join WWAMH as we continue our work to improve mental health services, knowledge and acceptance in the 21st Century.

Your dollars are one way you can contribute to people learning to live with… and recover from… mental illnesses in our community.  Your dollars also help fund educational and advocacy efforts to erode stigma which harms lives by discouraging people from asking for help and by dehumanizing others.

Mental health needs community support.

Your contributions are tax deductible as permitted by law.

* Are required fields that must be completed.

*Name
Please apply my contribution to (please check all that apply):
*Address/Street

Amy Carpenter Memorial Scholarship Fund
Amount:

COFAMH
 Amount:

Other (please specify)
Amount:

Please apply my gift to wherever the need is greatest.
Amount:

*City
*State
*Zip
*Phone
FAX
*E-Mail
Check here if you would like your gift to remain anonymous.
Please bill me for the full amount of   (please include a printed copy of this page)
Donate online though Network For Good (submit form to receive further instructions)
  

 

  
     
 
WWAMH, INC.   3043 State Route 4,   Hudson Falls, NY  12839                                                                               Ph. (518) 747-2284      Fax (518) 747-2253