Print out this page and mail to address below with contribution.

I want to help strengthen our community with needed mental health services for those at greatest risk: families in distress, troubled children, adolescents, substance abusers and the frail and isolated elderly.

My gift will help RMHA continue to respond to the more than 2000 neighbors who will request our help this year.

                                        All contributions are fully tax-deductible

Enclosed is my contribution to Riverdale Mental Health Association, Inc.

Benefactor Circle $3,000 ______                                                        I'd like my contribution to benefit the following program:

Presidents Council $1,000 _____                                                        Early Childhood      _____         Adult Services             _____

$500 _____ $250 _____ $100 _____ $50 _____                            Children's Services _____        Residential Programs _____

Family Member $25 _____                                                                    Seriously Mentally ill ____        Elderly Program           _____

Individual Member $15 _____                                                                               School Consultation Services _____

Other $__________                                                                                                            Substance Abuse Program _____

A gift of $15.00 or more entitles you to membership.                                                                  Where it is needed most _____

All contributions are tax-deductible to the full extent under the law.

Name: ______________________________________________________

Address: ____________________________________________________

City: _____________________ State: _______________ Zip: _________

Please make your check payable to Riverdale Mental Health Association

And mail to:     5676 Riverdale Avenue

                         Bronx, NY 10471

I wish to charge my donation to my MasterCard • Visa •

Card Number ________________________ Expiration Date: ____________

Signature: ___________________________

A copy of the latest annual report is on file and may be obtained, upon written request, from

The Office of the Attorney General, Charities Bureau, 120 Broadway, New York, New York 10271, or

The Riverdale Mental Health Association, 5676 Riverdale Avenue, Bronx, New York 10471.