Montana - Fight the New Drug

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Name

This field is for validation purposes and should be left unchanged.

First Name*

Last Name*

Phone*

Email*

Organization*

Authorization*

Are you authorized to plan and host a FTND Live Presentation on behalf of this organization?

Yes

City*

State*

Country*

Presentation Type*

What type of presentation(s) are you interested in?

Parent/Community

Middle School

High School

College/University

Date*

Desired Event Dates: (tour tentatively planned for February 2023)

Audience*

Estimated # of those attending

Venue*

Venue Name/Type (i.e. community center, school, etc.)

Fight the New Drug, PO Box 522378, Salt Lake City, UT 84152 | Fight the New Drug is a part of the PHASE Alliance™.