RESOURCE TABLE REGISTRATION FORM Thank you for your interest in having a resource table at our annual 2026 Mental Health Matters Walk! Please enable JavaScript in your browser to complete this form.Organization Business/Name: *Organization Information Name of Primacy Contact: *FirstLastTitle/Position: * community the Applicable): Phone Numbner: *Email *Website (If Applicable):Please describe your organization and the services/resources you provide: *Resource InformationDoes your organization support mental health, behavioral health, substance use recovery, wellness, or related community services? *YesNoIf yes, please explain how your organization supports mental health and/or community wellness: *Resource InformationWhat information, resources, activities, or materials will you be providing at your table? *Resource InformationWill you be distributing giveaways, promotional items, or educational materials? *YesNoIs there anything NAMI Mahoning Valley should know prior to the event?Payment Type: *--- Select Choice ---(Option 1) Paying Online via This Form(Option 2) Alternative Payment ArrangementsIf you are paying online via this form please select Option 1 and complete your payment by entering your credit card information below where it states "Credit Card Payment" then sign and submit the form to pay the $25 fee. If you will be paying via check, cash, or another payment type that has already been approved, or still needs approved, select option 2 and sign and submit. Credit Card PaymentCardName on CardTotal$0.00Agreement: Please Read the Below & Sign/Date: *I understand and agree to: •Arrive between 10:00 AM and 10:30 AM for set-up. • Remain set up until at least 1:30 PM. • Provide resources and information appropriate for a family-friendly community event. • Follow all event guidelines established by NAMI Mahoning Valley. Questions? Please contact Katie Coriston at NAMI Mahoning Valley (katie@namimahoningvalley.org or 330-610-8623) for additional information regarding resource table participation. Thank you for supporting mental health awareness and helping make the Mental Health Matters Walk 2026 a success!Submit
