Coalition for the Prevention of Alcohol Problems

1875 Connecticut Ave NW, Ste 300

Washington, DC  20009

 

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Please print out and fill in this application form.

 

_____  Yes, sign up my organization as a member of CPAP.  What does it mean to be a member of CPAP?

 

Name (contact person):

 

Organization Name:

 

Address:

 

 

 

Phone:

 

Fax:

 

Email:

 

Website:

 

 

In order for CPAP to identify more closely with each member group, we ask that you please submit the following with this application form:

Send the completed form, with the requested materials, to:

Alcohol Policies Project - CPAP

Center for Science in the Public Interest

1875 Connecticut Ave NW, Ste 300

Washington, DC  20009

fax: (202) 265-4954

 

Once we receive and process the application and materials, we will contact you with membership information.

 

Thank you for participating in the fight to reduce alcohol problems!

 

 

Alcohol Policies Project