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Thank you for your interest in joining the
San Diego County Psychiatric Hospital Auxiliary.
Individual Member Corporate/Organization Patron Life Member |
$25.00 $50.00 $100.00 $500.00 |
You may type directly into the PDF form and print it out for mailing.
Your information will not be saved with the PDF file.
If you have trouble typing into the form found above,
a plain paper version is available HERE.
Mail Application and payment to:
San Diego Psychiatric Hospital Auxiliary
P.O. Box 83051
San Diego CA 92138-3051
Or FAX to Secure Line: 619-447-7291
If you have additional questions, call
(619) 447-7814
or send an e-mail message to
sdcpha@cox.net