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    The National Council on Alcoholism and Drug Dependence fights the stigma and the disease of alcoholism and other drug addictions.
NCADD 2009 CONFERENCE OF AFFILIATES REGISTRATION

The Science of Prevention
October 21-24, 2009
Arlington, VA


ONLINE REGISTRATION

Please include the name of any companion who will be attending the conference. The registration fee includes all meal functions.
Tickets for the Friday Luncheon only (without registration) are $75 before 9/1; $100 after 9/1.

Name :
Title :
Affiliate/Organization :
Street Address :
City :    State :    Zip :
Phone :    Fax :
E-Mail :

Registration Fee Before 9/1 After 9/1 # Attending
Conference (includes Luncheon) $175 $225
Luncheon Only $75 $100
Names of Companions :

Check One : Check Visa MasterCard American Express
*If paying by check, please mail a printed copy of this form, along with a check for the total amount to : 244 East 58th Street, 4th Floor, New York, NY 10022

Credit Card # : Exp. Date : Security Code :
Cardholder Name : Total Order Amount :

Reminder: Early Registration Deadline: September 1,2009
 

NCADD Homepage

NCADD logo - National Council on Alcoholism and Drug Dependence
 National Council on Alcoholism and Drug Dependence, Inc.
244 East 58th Street 4th Floor, New York, NY 10022
phone: 212/269-7797   fax: 212/269-7510
email: national@ncadd.org   http://www.ncadd.org
HOPE LINE: 800/NCA-CALL (24-hour Affiliate referral)