Order Form for Broadcast/Cable Television Stations
The Road to Recovery /Recovery Month programming is being provided to broadcast/cable television stations free of charge. Additional programming from previous Recovery Month observances can be previewed and ordered at www.recoverymonth.gov.
To order, simply print and fill out the order form and return it to:
Media Relations
SAMHSA's National Clearinghouse for Alcohol and Drug Information
P.O. Box 2345
Rockville, MD 20847-2345
FAX: (301) 468-6433
Orders also may be called in at (240) 747-4815.
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Ship To:
Name: _____________________________________________________________
Title: _____________________________________________________________
Media Organization Name: ___________________________________________
Address: ___________________________________________________________
____________________________________________________________________
____________________________________________________________________
State: ______________________
ZIP Code: ___________________
Telephone: (___)_____________
Email: _____________________
Would you like to be added to the Recovery Month listserv? This will allow you to receive future press releases, programming updates, PSAs, and other materials related to the observation of Recovery Month.
Yes _____
No _____
Check out the Recovery Month Web site at www.recoverymonth.gov/ to preview and order additional videos.
Please complete this form and send it to:
Media Relations
SAMHSA's National Clearinghouse for Alcohol and Drug Information
P.O. Box 2345
Rockville, MD 20847-2345
or fax to 301-468-6433
