Create an online Bell of Hope Memorial

Honor your loved one by creating an Online Bell of Hope Memorial. 

 

*Your Name:

*E-mail Address:

*Phone Number:

Street Address:

City, State:

Zip Code:

*Name of Deceased:

*Deceased Date of Birth:

*Deceased Date of Death:

*Your relationship to the Deceased:

   
   

Comments:

If you have a picture of the deceased you would like us to post on the memorial please send it via US Mail or email to the gift office (contact information below)

*Required fields

NMHA reserves the right to decline submissions to the Memorial Wall that it deems unsuitable for all audiences.

 

Please be sure to provide your contact information so that we may contact you with any questions. 

For more information, contact the NMHA Gift Office:

giftoffice@nmha.org
National Mental Health Association
Attn: Gift Office
P.O. Box 16810
Alexandria, Virginia 22302-0810