Yes, I would like to become a member of NATI!
(please circle one)
Program Member $150
Associate Member $75
Individual Member $25
Name
Organization
Address
Phone
Fax
E-mail
Web Address
Please send your check and this printed and completed registration form
to:
National Association
of Teen Institutes
c/o CADA
3520 General DeGaulee Drive w
New Orleans, LA 70114
(504) 362-4272 w (800) 749-7444
w
email nati@teeninstitute.org