Host your Own Event - contact request

If you're thinking about hosting an event and want us to contact you for assistance or suggestions, please fill out this form. Questions? E-mail info@addictionaction.org.

Also be sure to download our handy planning guide, Maximizing Outreach Through Town Halls (PDF, 2.4 MB)

Fields marked with an asterisk are required.

First name:	*
Last name:	*
Email address:	*
Organization: (required if this address is not a residence)
City:	*
Mailing address:
Mailing address line 2:
State:	*
Zip code:	*
Telephone:	*
Date of event:
Is this date finalized or tentative?	date finalized
	date tentative
Location (venue):
Is this location finalized or tenative?	location finalized
	location tentative
Anticipated attendance:
Briefly describe your plans or ideas for the community event, or how we can help you?	*
Are you already in touch with someone from Faces & Voices of Recovery, CADCA or Join Together about your event?	yes no *
Please ensure the above information is correct, then click Submit.