How to Order

Alcohol 101 Plus consists of an interactive CD-ROM, a Facilitator's Guide and a companion website.

Because these educational tools are designed for facilitators only, we ask that you register to receive access rights. Your information is collected in accordance to our privacy policy.

This registration gives you access to the facilitators-only areas of the Alcohol 101 Plus web site, which will be launched with the CD-ROM in March 2003. In the facilitators area you can share ideas with your colleagues, as well as find additional educational materials.

Once your registration is processed, you will be included in our pre-order database to receive a FREE Alcohol 101 Plus Starter Kit that includes 10 CD-ROMs and a Facilitator's Guide. Delivery date is scheduled for March 2003.
 

* Required fields are marked with an asterisk
 
  Facilitator Information
 
Mr. or Ms.   
* First Name   
* Last Name   
* Title   
* Phone       Call here first
Pager or Cell       Call here first
Fax   
* Email Address   
 
  University Information
 
* University Name   
* Department   
* Address line 1     (Please, no P.O. Boxes)
Address line 2   
* City   
* State & Zip     
 
  * Primary audience that will be using Alcohol 101 Plus
  Housing / Residential
  Health Services
  Counseling
  Orientation
  Greeks
  Athletes
  Judicial / Safety
 
  Account Information
 
To allow us to help you if you forget your password,
please enter your mother's maiden name.
 
* Mother's maiden name   
 
Now, please enter a User ID that you will use to log in.

It must be 5–8 letters or numbers. We suggest you enter something easy to remember, such as part of your current email address.
 
* User ID   
 
Please enter a password.

It must be 5–8 letters or numbers, and different from your user ID.
 
* Password   
* Please re-type password   
 
  I want to receive free email updates    (privacy policy)
 
  
Thank you for your interest in Alcohol 101 Plus!
 
If you have questions about using this form, Contact us.