Alcohol Policy Panel General Assembly -- March 6, 2015

Alcohol Policy Panel General Assembly RSVP- please register up to four people at a time

Please share your contact information to register for the General Assembly on Friday, March 6, 2015. There is a $10.00 registration fee for this event. Payment accepted on the day of the event (cash and checks only- checks can be made payable to the Institute for Public Strategies) or with Paypal (after you complete registration). We are strongly encouraging attendees to pay in advance using Paypal: Please click here.

Question Title

1. Registrant #1

Name: (Required)

Organization and Community (Required)

Address:

City:

State:

ZIP:

Email Address: (Required)

Question Title

2. If this registrant was invited by a regional organization, please specify.

North Coastal Prevention Coalition (Vista Community Clinic)

San Dieguito Alliance for Drug Free Youth

North Inland Community Prevention Program (Mental Health Systems, Inc.)

North City Prevention Coalition (SAY San Diego)

Central Region Prevention Coalition (SAY San Diego)

South Bay Community Change Project (Institute for Public Strategies)

East County Community Change Project (Institute for Public Strategies)

Other (please specify)

Question Title

3. Registrant #2

Name: (Required)

Organization and Community (Required)

Address:

City:

State:

ZIP:

Email Address: (Required)

Question Title

4. If this registrant was invited by a regional organization, please specify.

North Coastal Prevention Coalition (Vista Community Clinic)

San Dieguito Alliance for Drug Free Youth

North Inland Community Prevention Program (Mental Health Systems, Inc.)

North City Prevention Coalition (SAY San Diego)

Central Region Prevention Coalition (SAY San Diego)

South Bay Community Change Project (Institute for Public Strategies)

East County Community Change Project (Institute for Public Strategies)

Other (please specify)

Question Title

5. Registrant #3

Name: (Required)

Organization and Community (Required)

Address:

City:

State:

ZIP:

Email Address: (Required)

Question Title

6. If this registrant was invited by a regional organization, please specify.

North Coastal Prevention Coalition (Vista Community Clinic)

San Dieguito Alliance for Drug Free Youth

North Inland Community Prevention Program (Mental Health Systems, Inc.)

North City Prevention Coalition (SAY San Diego)

Central Region Prevention Coalition (SAY San Diego)

South Bay Community Change Project (Institute for Public Strategies)

East County Community Change Project (Institute for Public Strategies)

Other (please specify)

Question Title

7. Registrant #4

Name: (Required)

Organization and Community (Required)

Address:

City:

State:

ZIP:

Email Address: (Required)

Question Title

8. If this registrant was invited by a regional organization, please specify.

North Coastal Prevention Coalition (Vista Community Clinic)

San Dieguito Alliance for Drug Free Youth

North Inland Community Prevention Program (Mental Health Systems, Inc.)

North City Prevention Coalition (SAY San Diego)

Central Region Prevention Coalition (SAY San Diego)

South Bay Community Change Project (Institute for Public Strategies)

East County Community Change Project (Institute for Public Strategies)

Other (please specify)

To register additional guests, please clear your browser and re-visit this site.

We are strongly encouraging attendees to pay in advance using Paypal: Please click here.