No stigma button - NCADD 
    The National Council on Alcoholism and Drug Dependence fights the stigma and the disease of alcoholism and other drug addictions.
NCADD 2010 CONFERENCE OF AFFILIATES REGISTRATION

Weaving Prevention, Treatment and Recovery
October 27-30, 2010
Phoenix, AZ


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 Awards Luncheon only (without registration) are $75.

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

Registration Fee # Attending
Conference (includes Luncheon) $225
Luncheon Only $75
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: Registration Deadline: October 25,2010

 

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)