<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> MHA - Donation Form
The Mental Health Association in Putnam County, Inc.

Donate To MHA
 

Donate To MHA

 

Mail To:

The Mental Health Association in Putnam County
1620 Route 22
Brewster, NY 10509

(Fax Number: (845) 278-0600)


Your contribution supports the development of these services:


 
Advocacy:
  for social acceptance and empowerment,
independent living skills,
community housing,
job training and placement, and
health insurance coverage
 
 
Referrals:
  for crisis evaluation and intervention,
emergency services,
local housing,
therapy and counseling,
self-help and support groups,
day clinics and programs, and
long-term care
 
 
Support:
  for consumers and their families through our,
drop-in center,
peer bridging program,
family support group,
siblings “Talkabouts” group
 
 
Job Opportunities:
  for consumers of mental health services through
MHA’s recipient-run programs
 
 
Community Education:
  about mental health and related issues  


 

YES, I want to support advocacy and empowerment services for those in need in Putnam County!

My check in the amount of $ ________ to support MHA in Putnam is enclosed.

__ $10 Consumer/Student/Senior   Name ____________________________________________
__  $25  Individual Address __________________________________________
__  $50 Family City ___________________  
__  $75 Friend State ______ 
__  $100  Sponsor Zip  _________
__  $250 Patron Phone  ___________________________________________
__  $500  Advocate Email ____________________________________________
__  $1,000  President’s Club  


I am interested in becoming a: _____Board Member   _______ Volunteer

 

Please make your tax-deductible check payable to the Mental Health Association in Putnam County, Inc.


 
 
All of our Services are available at No Charge.

MHA Is Located at 1620 Rt. 22, Brewster, New York 10509
Telephone: (845) 278-7600


 

 

 

 

 

 

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