Registration Form

4^th Annual FTA Drug and Alcohol Program National Conference
Nashville Convention Center
601 Commerce Street
Nashville, Tennessee 37203

Conference Description

Last Name:

First Name:

Title:

Organization:

Mailing Address:

City:

State/Province:

* Postal Code: *

Business Telephone:

* Ext: Fax:

Email:

Individuals planning on attending any of the following sessions must pre-register. Please indicate if you would like to pre-register for any of the following sessions:

Beginner Drug and Alcohol Program Manager (DAPM) Training (Day 1, Tuesday, April 7th 9:00 am to 4:30 pm)
Reasonable Suspicion Training (Day 2, Wednesday, April 8th 11:00 am to 1:00 pm)*
Reasonable Suspicion Training (Day 3, Thursday, April 9th 10:30 am to 12:30 pm)*

*Note: The Reasonable Suspicion Training session will satisfy 49 CFR Part 655.14 minimum training requirements. Certificates of completion will be mailed to all individuals that complete the 2-hour session.

Please join us for a Peer Social
Wednesday, April 8, 2009
5:00 PM - 6:30 PM
Renaissance Nashville Hotel, next door to the Convention Center, room location TBD.
There will be light refreshments and a cash bar.

Yes, I will be attending the Peer Social