Seminar Registration Form

Prescription for Disaster: 2018 Winter Session
Atlanta, GA
January 18 - January 20, 2018


National College for DUI Defense, Inc.
445 S. Decatur St.
Montgomery, AL 36104
Tel: 334-264-1950
Fax: 334-264-1920

NCDD members, please log in to the website to receive your discounted registration fee.

1. Your Information

2. Address

3. Registration Details

Please enter how many people you would like to RSVP for the dinner (2 maximum).


4. Attendance Certification Statement


Printed Name , on this 17th day of January, 2018


5. Registration Fees

$ .00
**CD of materials will be included in the registration fee.**
If yes, an additional charge of $50 will be added.

$ .00

Payment Options



6. Pay By Check Online

Billing Address

6. Pay By Credit Card

To pay by check, please scroll to the end of the form and click the blue button.

Visa Mastercard American Express Discover

Billing Address

6. Pay By Check

Please send a payment to the address below and make it payable to NCDD.


National College for DUI Defense, Inc.
445 S. Decatur St.
Montgomery, AL 36104

Tel: 334-264-1950
Fax: 334-264-1920

6. Scholarship Registration

a.

b.

c.

d.

e.




f.

g.

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