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The Symposium Online Registration

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The cost of this symposium (includes the dinner reception to be held at the Harvard Faculty Club) is as follows:
$75 Early registration fee - Deadline November 30, 2008
$95 Late registration fee - Deadline December 15, 2008

Please make checks payable to “Harvard University Health Services” or “HUHS” and send the payment to:
Ryan Travia, Director
Office of Alcohol & Other Drug Services
Department of Behavioral Health & Academic Counseling Harvard University Health Services
7 Linden Street
Cambridge, MA 02138

 

Title:
Professional Title:
Name:
Institution:
Email:
Phone:
Other colleagues planning to attend:

(Enter information for the number needed and leave the rest blank)
Title:
Professional Title:
Name:
Email:
 
Title:
Professional Title:
Name:
Email:
 
Title:
Professional Title:
Name:
Email:
 
Title:
Professional Title:
Name:
Email:
Do you have parking needs?
Are there any specific topics you would like addressed:
Are you going to attend the dinner on Jan 21?
If so, do you have any dietary restrictions or special needs? (leave blank if none)
   
Persons who wish to request disability-related accommodations including sign-language interpreters should contact Ryan Travia, Director of the Office of Alcohol and Other Drug Services at 617.496.0133 or Rtravia@uhs.harvard.edu by November 15, 2008.

©2007-2008. MIT Community Development & Substance Abuse Programs. cdsa [at] mit [dot] edu.