Your involvement in Partnership efforts is integral to our activities. We invite you to become involved at one of the following levels:

• DONOR -- Receive and may contribute to quarterly newsletter. $10 per year
• INDIVIDUAL PARTNER--Voting privileges, receive minutes, meeting notifications and newsletter, eligible to serve on Board. $20 per year.
• NON-PROFIT PARTNER -- Benefits are the same as Individual Partner, except membership can transfer for organization representation. $50 per year
• CORPORATE PARTNER--Benefits are the same as Non-profit Partner, plus can be recipient of services. $250+ per year.
• SPONSOR--Benefits are the same as other Partners, plus contracted service. Per contract.
• In-kind contributions may substituted at Individual or Non-profit Partner levels.

Thank you for your interest and support.

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I (we) would like to participate as a member of the San Juan County Partnership. Please print out this form, fill it out and mail to San Juan Country Partnership.

Name ________________________________________

Organization __________________________________(if applicable)

Phone ________________________________________

Address _______________________________________

City________________State_______Zip_____________

Please check the Level of Participation

______ Donor $10

______ Individual Partner $20

______ Non-profit Partner $50

______ Corporate Partner $250 or more

______ Call me with more information

In-kind contributions may be substituted at Individual or Non-profit Partner Levels.

Current Corporate Partners include:

• City of Farmington
  
• Farmington Municipal School District
• Sam’s Club
  
• San Juan College
• San Juan Regional Medical Center
• State Farm Insurance
  

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Please make checks payable to San Juan County Partnership. Mail to: San Juan County Partnership. 3535 E. 30th Street . Farmington, NM 87402

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San Juan County Partnership Members and Affiliates

Alliance for the Mentally Ill • Americorps • The ARC • Aztec Dormitory • BIA Schools • Big Brothers/Big Sisters • Aztec, Bloomfield, Central Consolidated and Farmington Schools • Bloomfield Boys & Girls Club • Bloomfield Family Learning Center • Bloomfield Fire Department • CDWI Prevention Program • Childhaven • Children’s Medical Services • Children Youth and Families Dept. • Christian Women’s Job Corps • Christian Science Practitioner • Citizens Bank • Cities of Aztec, Bloomfield, Farmington • Daybreak Center • Creative Geckos • Domestic Violence Task Force • Drug Free San Juan • DWI Facility • ECHO/CHINS • EMT’s of San Juan County • DZ Schools and Health Services • Excel Case Management • Family Resource Center • Family Crisis Center • Farmington Boys & Girls Club • Farmington Intertribal Indian Organization • Four Corners Good Samaritan Village • Four Corners Training Consortium • Four Winds ARC • Good Shepherd • Halvorson House • Helpline • Head Start/Early Head Start Holiday Inn • Indian Health Service • Individual Volunteers • Juvenile Probation & Parole • KDAG Radio • KSJE Radio • KOBF-TV • K-FROG Radio • LifeCourse Rehabilitation Center • Many Waters Mission • Maternal Child Health Council • NCI • Navajo Nation Behavioral Health Services • Navajo United Methodist Center and New Beginnings • Nenahnezad Chapter • Nenahnezad Save the Children • NESJC Health and Wellness Center • NM Public Health Division • NM State Police • Northern Navajo Medical Center • NWNM Affordable Housing Alliance • NWNM Council of Governments Ojo Amarillo Drug Elimination Project • Omega Transport • Our Ranch San Juan • Our Youth Our Future • Persona, Inc. • Police Depts. of Aztec, Bloomfield, and Farmington • Positive Outcomes • Premier Distributing • Presbyterian Medical Services• Public Service Co. of New Mexico • Raindancer • San Juan Center for Independence • San Juan College • SJC Project Read • SJC Volunteer Center • SJC Career Center • San Juan County • San Juan County Sheriff’s Dept. • San Juan Family Preservation • San Juan Mission • San Juan Regional Medical Center • San Juan United Way • Shiprock Home for Women & Children • Shiprock Boys and Girls Club • Shiprock Health Promotion • Shiprock Youth Home • Success by Six • Sylvan Learning Center •TGIG--21st Century Community Learning Center • Totah Behavioral Health • Traffic Safety Bureau • Upper Fruitland Chapter • VA Clinic • Victim Impact Panel • Wells Fargo Bank • Williams Field Services

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