______  I look forward to the Luncheon Among Friends.
                        Enclosed is my check for $60 per person.

    ______  Regretfully, I cannot attend but would like to make a contribution to 
                        The Center in the amount of $___________________

Name:____________________________________________________________

Address:__________________________________________________________

City/State/Zip:______________________________________________________

Telephone:_________________________ Email:___________________________

No. of seats requested:___________________________

Amount enclosed: $______________________________

Please make all checks and contributions payable to:
The Center for Alcohol and Drug Resources, 241 Main Street, Suite 600, Hackensack, NJ 07601
If you have any questions or concerns, please contact us at 201-488-8680.