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Click here to download printable flyer and registration form.

             Coalition to Increase Access to Addiction Treatment

Coalition to Increase Access to Addiction Treatment

Invites you to attend


"Substance Abuse and Addiction Treatment Initiatives:

Past Successes, Future Needs"

Tuesday, March 14, 2006

Day of Action Registration Form

Name Organization (if applicable)

Address City/State/Zip

(where you are registered to vote)

Phone Fax E-Mail

  • I will attend the event and I would like to meet with my legislator(s) as part of a group. Please make an appointment for me.
  • I will attend the event, but will schedule my own legislative visit.
  • I am unable to attend but will be calling my legislator(s). Please send me information.
  • TRAINING: I would like to participate in a training on legislative advocacy prior to the Day of Action. Please call me to schedule a group training (5 people minimum).
  • TRANSPORTATION: I would like to know more about transportation assistance for large groups.
  • Please send me more information about the Coalition to Increase Access to Addiction Treatment.

Appointments will be made for March 14, 2006 between 10:30 AM and 12:00 PM

I plan to meet with the following legislators:

Representative(s): Senator(s):

To locate your legislators go to www.wheredoivotema.com or call 1-800-392-6090

Please return the completed registration form to:

Sana Fadel, c/o Rosie's Place, 889 Harrison Avenue, Boston, MA 02118

(617) 442-9322 (phone) (617) 442-7825 (fax) sfadel @ rosiesplace.org

563 Massachusetts Avenue |   Boston, MA 02118 |    Tel: 617-236-1188 |   Fax: 617-236-4399 |    info@cjpc.org

Updated on 3/8/06