Registrant Liaison Donations • Certification For Alcohol And Drug Treatment Professionals

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Company Name

Enter the company name if the donation will be made in the company's name. Leave this field blank if this is an individual donation.

Donation Amount(Required)

75.00 (One Initial Registration)

100.00 (Add to the Education Fund)

350.00 (One Certification Exam and Fees)

Other amount

Choose how much you would like to donate.

Other Amount

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Welcome to CADTP Counselors