InRhodes
A Behavioral Healthcare Resource Center
funded by the RI Department of MHRH


Registration

You may now register for In Rhodes Membership online.  Complete the form below and mail $25.- check for membership fee to:

In Rhodes Resource Center, 102 Dupont Dr. Providence, RI 02907

First Name:
Last Name:
Email:
Home Address:
Home Phone:
Agency:
Agency Address:
Agency Phone:

 
Membership Registration Form
MEMBERSHIP REGISTRATION FORM

You may now register for InRhodes Membership online. 
Please complete the form below and mail your $25 check to:
 In Rhodes c/o DATA of RI, 102 Dupont Dr., Providence, RI 02907

First Name:
Last Name:
Address:
Email:
Agency:
Agency Address:
Agency Phone:
Driver's License Number:
Copyright . In Rhodes Resource Center.
Website created by Debra Cohen-Estes. InRhodes Librarian.
All rights reserved.