BECOME A MEMBER

PUTTING FAMILIES FIRST

***There is no fee for membership!!!!! Please join!!!***

Please print the membership coupon and mail to Long Island Families Together,

or fill out the form below:

Green has traditionally been the color to commemorate Children's Mental Health Month. As a fundraiser, LIFT is selling magnetic green ribbons for autos with the words “Children's Mental Health Matters". Please help us to support parents throughout Long Island by purchasing a ribbon. You may do so by sending a check for three dollars, along with the membership form.
Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
E-Mail:
*required 
parent     service provider     other

I will send check for Children's Mental Health Month magnets.
($3 each). yes - qty:         no

     
193 Broadway Ste. A   Amityville, NY   11701   ph. 631-264-lift   fax 631-264-0762   lift4kids@verizon.net