World Mental Health Day 2002

MEMBERSHIP APPLICATION


If you and/or your organization are not yet a member of the World Federation for Mental Health, why not join now and become a part of the worldwide mental health movement to help improve the mental and emotional well-being of people around the world!

TYPES OF MEMBERSHIP

  • Individual membership, for any individual who would like to join WFMH.

  • Affiliate membership, for organizations that would like to be affiliated with WFMH.
  • Voting membership, for national or international organizations that would like to help with the matters related to WFMH, both internally and externally. Applications are available upon request.

MEMBERSHIP BENEFITS

  • Opportunities for networking and collaboration with colleagues in other parts of the world with common interests and concerns

  • Quarterly newsletters – bringing you timely information on global mental health issues
  • Annual reports of WFMHs activities
  • Reduced rates at WFMH events including regional seminars and conferences as well as the Biennial World Congresses

MEMBERSHIP FEES

Individual membership

Regular member (developed countries) – $35
Developing country member (designated by OECD) – $15
Lifetime member – $500

Affiliate membership

Libraries – $35
Annual budget below $100,000 – $50
Annual budget of $100,000-$999,999 – $150
Annual budget of over $1 million – $300


Please circle the type of membership you are applying for:

Individual membership
Regular – $35
Developing country – $15
Life – $500
Affiliate membership
Library – $35
Budget below $100,000 – $50
Budget of $100,000 – $999,999 – $150
Budget over $1 million – $300

Please provide the following information:

Organization name (only if applying as an affiliate member) ___________________________________________________

Main contact person ____________________________________________________________________________

Title _________________________________________________________________________________________

Address ______________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Telephone ________________________________________ Fax _______________________________________

E-mail _______________________________________________________________________________________

Payment:

Please charge my Visa or MasterCard (circle one)

Credit Card number _______________________________________________________

Expiration date ___________________________________________________________

Name on card ____________________________________________________________

Signature _______________________________________________________________

Check, bank draft or money order enclosed

Please return this form along with your payment (in U.S. Dollars) to:

WORLD FEDERATION FOR MENTAL HEALTH
P.O. Box 16810
Alexandria, VA 22302-0810
USA

 

Similar Posts