Gulf Coast Conference on Addiction and Recovery

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November 2-3, 2023
Island House Hotel, Orange Beach, Alabama

Email *

Registration

Advance registration is required for this conference.

The registration fee of $275 includes conference materials, lunches and Continuing Education contact hours (Please see CE information for NBCC and ABSWE on conference website. Nursing CE's are not available for this conference). Check/Credit Card/PO are acceptable forms of payment. We are happy to invoice your organization.

A confirmation will be sent upon receipt of your registration and payment.

In the event of conference cancellation, registered participants will be notified no later than 10 days prior to the conference start date.

REGISTRANT CANCELLATIONS:
For a full refund, only written cancellations received before October 24th will be accepted. We cannot make refunds after that date, Substitutions can be made at any time. Registrants who do not attend the conference and who have not complied with this policy are responsible for the full registration fee.

Special Needs

If you need any of the auxiliary aids or services identified in the Americans with Disabilities Act, please call (251) 478-7855

Registrant's First and Last Name *

Organization/Agency Name *

Registrant's Street Address (Mail) *

City *

State *

Zip Code *

Phone Number *

Email Address *

Registration Fee *

$275 Conference Registration fee includes conference materials, lunches and Continuing Education contact hours.

Form of Payment *

Check (Make payable to Drug Education Council, Inc. Please include registrant's name and mail check to 3000 Television Avenue, Mobile, AL 36606

PayPal or other Credit Card (Please see information below regarding convenience fee and link for payment)

Bill my organization (Please complete billing information below)

To pay with PayPal or other Credit Card please submit this form and then use the link shown on the registration confirmation page to make your payment.

(Please note that all credit card payments are subject to a convenience fee (2.20% + $0.30 per transaction) which is not greater than our cost of processing.)

Name of Person who is the Billing Contact (If we are billing your organization)

Billing Contact Phone Number

Billing Address including City, State and ZIP Code

Billing Contact E-mail address

Thank you for registering for the Gulf Coast Conference on Addiction and Recovery.

A copy of your responses will be emailed to the address you provided.

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