NY-TAC Membership Form

Important Notice: Print and mail this.  BY SENDING THIS FORM, YOU ARE STATING THAT YOU HAVE READ THE MATERIALS ON THIS SITE, AGREE WITH THE AIMS OF NY-TAC AND YOU ARE WILLING TO BE LISTED AS A SUPPORTER. PLEASE FILL ALL FIELDS. THANK YOU. 

Salutation

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Last Name

 Title

Organization

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Would you like to receive Treatment Advocacy Center News by E-Mail?

 Affiliation:

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Important Notice: BY SENDING THIS FORM, YOU ARE STATING THAT YOU HAVE READ THE MATERIALS ON THIS SITE, AGREE WITH THE AIMS OF NY-TAC AND YOU ARE WILLING TO BE LISTED AS A SUPPORTER. YOU WILL RECEIVE PERIODIC UPDATES. DONATIONS ARE APPRECIATED. THANK YOU.

  PRINT AND mail this form to us using the good ole Postal Service.  It may be ‘low tech’, but we have more confidence in that, then our coding skills. That’s what we would do if we were you. After you mail it, you can try to use the ‘submit’ button.  Hey, you never know. (Thanks for your understanding).(Posted 2/1999)

YOU MAY SUBMIT FORM BY MAIL TO NY TREATMENT ADVOCACY COALITION, SUITE 4B, 250 WEST 27TH ST., NY NY 10001.

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The information on /newyork is provided as a public service by the NY Treatment Advocacy Coalition. For more information, to join, or to make a donation, write to NY Treatment Advocacy Coalition, Suite 4B, 250 West 27th St., New York, NY 10001 or call (212) 366-0527. To support our efforts, make checks payable to Treatment Advocacy Center. To become a free member and receive updates, please send your name, (organization's name, if any) address, phone, fax, and e-mail address to the above address, along with the following signed statement: "I HAVE RECEIVED INFORMATION ABOUT THE NY TREATMENT ADVOCACY COALITION, SUPPORT IT'S MISSION, WANT TO RECEIVE UPDATES AND BE LISTED AS A MEMBER AND SUPPORTER." Unfortunately, requests for free memberships without this information and statement can not be honored. Contents of all material on the Coalition's web site is copyrighted and rights are reserved by the NY Treatment Advocacy Coalition unless otherwise indicated. However content may be reproduced, downloaded, disseminated, or transferred by nonprofit organizations that support our mission for educational purposes if correct attribution is made to the NY Treatment Advocacy Coalition. Please feel free to call with questions on neurobiological disorders, treatment laws or the benefits of medication compliance at 703.294.6001 or 212.366.0527. Send questions via e-mail to stanleyj@psychlaws.org. Media inquiries to press@treatmentadvocacycenter.org. Technical comments on the web site (www.psychlaws.org) can be sent to Webmaster@psychlaws.org.