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Note: The Verification Code is a three- or four-digit code on the back of your card, usually on or near the signature box.

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I would like my donation to go towards:

	Individual Membership $50
	Become a part of the Voice of Recovery! Recieve a 10% discount on the Tuerk Conference registration fee (excluding walk-ins), email updates and action alerts, and more!
	Student Membership $35
	Become a part of the Voice of Recovery! Recieve a 10% discount on the Tuerk Conference registration fee (excluding walk-ins), email updates and action alerts, and more!
	Organizational Membership (budget up to $250K) $100
	Become an Organizational Member of NCADD-Maryland and receive a 10% discount on the NCADD-Maryland Tuerk Conference registration fee (excluding walk-ins) for one designated contact. Membership fees based upon size of last year's annual operating budget. As a member your contact may participate in any NCADD-Maryland program (including ATAC).
	Organizational Membership (budget up to $500K) $150
	Become an Organizational Member of NCADD-Maryland and receive a 10% discount on the NCADD-Maryland Tuerk Conference registration fee (excluding walk-ins) for one designated contact. Membership fees based upon size of last year's annual operating budget. As a member your contact may participate in any NCADD-Maryland program (including ATAC).
	Organizational Membership (budget up to $1M) $200
	Become an Organizational Member of NCADD-Maryland and receive a 10% discount on the NCADD-Maryland Tuerk Conference registration fee (excluding walk-ins) for two designated contacts. Membership fees based upon size of last year's annual operating budget. As members your contacts may participate in any NCADD-Maryland program (including ATAC).
	Organizational Membership (budget up to $2M) $300
	Become an Organizational Member of NCADD-Maryland and receive a 10% discount on the NCADD-Maryland Tuerk Conference registration fee for two designated contacts. Membership fees based upon size of last year's annual operating budget. As members your contacts may participate in any NCADD-Maryland program (including ATAC).
	Organizational Membership (budget up to $2M+) $500
	Become an Organizational Member of NCADD-Maryland and receive a 10% discount on the NCADD-Maryland Tuerk Conference registration fee (excluding walk-ins) for three designated contacts. Membership fees based upon size of last year's annual operating budget. As members your contacts may participate in any NCADD-Maryland program (including ATAC).
	Make a donation to NCADD Maryland
	Make a donation to help NCADD-Maryland raise public awareness of addiction issues statewide, and ensure that those affected by the disease have the resources they need for treatment and recovery.
	A Drunking Problem $15 Includes Shipping and Handling
	An insightful look at the facts and the myths surrounding the disease of alcoholism. Dick Prodey has compiled this book from the popular Prodey Addictions Lecture Series he has delivered weekly for over 15 years. A must have for anyone needing to understand more about the science behind the stereotypes found in modern culture.
	Associate Org: for-profit company serving the industry $750
	Become an Associate Organizational Member of NCADD-Maryland and receive a 10% discount on the NCADD-Maryland Tuerk Conference registration fee (excluding walk-ins) for two designated contacts. As members your contacts may participate in any NCADD-Maryland program (including ATAC).
	2008 Professionals "Gratitute" Dinner - $45 subscription
	This annual event focuses on "celebrating recovery" and promoting a sense of community for recovering professionals and their families. The March 13th dinner is being held at Hilton Hotel in Columbia, Maryland. In addition to great networking and catching up with old friends, guests will hear a presentation from nationally known recovery speaker, Ed M., from Iowa. Tickets for the event are $45
	2008 Tuerk Conference - Early "General" Registration
	Early Registration - $95 (Registration must be postmarked no later than April 1, 2008
	2008 Tuerk Conference - Early "Student" Registration
	Early Student Registration - $70 (Must provide photocopy of current/valid student I.D.) (Registration must be postmarked no later than April 1, 2008)
	2008 Tuerk Conference - "General" Registration
	"General" Registration - $120 ( Registration must be postmarked between 4/1/08-5/08/08
	2008 Tuerk Conference - General "Student" Registration
	General "Student" Registration - $80 ( Registration must be postmarked between 4/01/08 - 5/08/08)
	2008 Tuerk Conference - Late/Walk-Up Registration
	Late Registration - $160 ( Applies to any registration request received after the May 8, 2008 conference registration deadline) Walk Up Registration - $160 (The fee applies to all registrations paid for "the day of" the Tuerk Conference... NO EXCEPTIONS)
	does not matter

* I confirm that the following statements are true and accurate:

I am a United States citizen or a permanent resident alien.
This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.
This contribution is not made from the treasury of an entity or person who is a federal contractor.
The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.
I am at least 18 years old.