Please print and fill out the membership form and mail it to the address below along with $5 membership fee and/or your donation.
Georgia Mental Health Consumer Network, Inc.
246 Sycamore Street, Suite 260
Decatur, Georgia 30030
Name _____________________________________________________________________________________________
Address _________________________________________________________________________
City __________________________________ State_________ Zip________________________
County __________________________________________________________________________
Area Code (___________) Telephone _________________________________________________
Email ____________________________________________________________________________
