Alcohol 101+ CD-ROM
How to Order

To request your FREE Alcohol 101+ interactive CD-ROM, simply fill in the form below.

Once your reguest is processed, you will be included in our pre-order database to receive the Alcohol 101 Plus CD-ROM. Delivery date is scheduled for March 2003.

Note:  Alcohol 101+ was developed by the Century Council to educate college-age audiences about alcohol abuse prevention. For educational materials suitable for other audiences, we invite you to visit the Century Council website.
 

* Required fields are marked with an asterisk
 
  Shipping Address
 
Mr. or Ms.   
* First Name   
* Last Name   
* Address line 1     (Please, no P.O. Boxes)
Address line 2   
* City   
* State & Zip     
 
  Contact Information
 
* Phone       Call here first
Pager or Cell       Call here first
Fax   
* Email Address   
 
  Additional Instructions or Comments
 
 
  Please send free email updates about alcohol abuse prevention   (privacy policy)
 
  
 
Thank you for your interest in Alcohol 101 Plus!
 
If you have questions about using this form, Contact us.