Join Us – As a Member

In an organization that is operated by individuals with mental health issues for individuals with mental health issues, our members are essential.

With our members as our focus, we believe that this website will become an important part of individuals’ lives, further enhancing the current benefits of being a member, from sharing information to networking to reaching out to others. CHANNAL offers consumers a voice as we provide a safe space in our blog, forum and chat room.

While CHANNAL has come a long way, we are ever changing and growing. We need the unique perspective of individuals with personal lived experience with mental illness to support us as we continue to develop our organization.

Please join with us as we strive to take steps into the future – together, let’s support one another in Recovery as we aim to live the life we want and deserve!

Membership Form

All information given is confidential and is used for the sole purpose of communicating CHANNAL related information to you. Please read and sign Oath of Confidentiality for further clarification around privacy and confidentiality.

If you wish to be removed from the mailing list or membership, please put your request in writing and mail to the address listed on this form. Membership is Free

Note: You can also print out the form and join by mail or fax.


Complete your information below:
Phone No. :
Address:
Address 2:
City:
Province:
Postal Code:
Type of Membership: Consumer/Survivor - an individual who has lived with mental health difficulties
Supporting Individual - a non-mental health consumer who supports the Objects of the Corporation. Supporting individual members do not have voting rights.
Supporting Individual - Mental Health related organizations that support the Objects of the Corporation. Affiliates members do not have voting rights.
Supporting Associate Organizations or Agencies - which are not mental health affiliates but that support the Objects of the Corporation. Supporting Associate members do not have voting rights.
Please check one: If CHANNAL calls me and I am not able to take the call, please leave a message for me.
If CHANNAL calls me and I am not able to take the call, please do NOT leave a message for me.
Please check one: like to be contacted about upcoming events.
like to receive a copy of the CHANNAL newsletter.
like to know more about CHANNAL.
be interested in attending support group meetings.
be interested in volunteering with CHANNAL (Please have someone contact me.)
I have read and understand the CHANNAL Oath of Confidentiality and agree to be bound to these terms.