GMHC Membership Form

Please print this page and mail the completed form and check to address below.

 

 

Name______________________________________

Address____________________________________

___________________________________________

___________________________________________

Home Telephone_____________________________

Work Telephone______________________________

Cell Phone___________________________________

Email address________________________________

MH License #________________________________

 

Your membership fee of $40 annually (Grad students free) includes:

·  Quarterly luncheon meetings 

·  Featured speakers and CEU opportunities

·  Information regarding pertinent legislation

·  Opportunity to network with other area professionals

 

Please make check out to GMHC, Inc. and

 Mail To: Batia Gold, LMHC

GMHC Chapter Treasurer

17211 Carolyn Lane,

North Fort Myers, FL 33917

 

 

If you have any questions, please call Linda Reynolds at (239) 841-2568