Substance Abuse & Mental Health Services Administration

CMHS Consumer Affairs E-News
December 27, Vol. 07-207

NCSTAC Hosting Sustainability Workshop for Consumer-Run Organizations

NCSTAC is hosting a Sustainability Workshop for consumer-run organizations January 7-9 in Albuquerque, New Mexico. A registration form is attached. The workshop is FREE and TRAVEL IS PAID FOR by NCSTAC. To attend, an individual must be a staff or board member of a consumer-run nonprofit organization, or be part of a group actively seeking 501c3 (nonprofit) status.

You are invited to attend, and please forward this invitation to others who may qualify. SPACE IS LIMITED and you must complete the registration form attached to participate. You will be notified within 24 hours if your application is received before the class fills. If you have any questions, please contact Dianne Dorlester by email Dianne Dorlester DDorlester@mentalhealthamerica.net or phone at 703-838-7538.

Hotel Registration Form

MHA's National Consumer Supporter Technical Assistance Center Workshop Albuquerque, New Mexico January 7 - 9, 2008

Registration Form

Registration Deadline: Thursday, December 27, 2007

NAME: __________________________________________

TITLE: __________________________________________

ORGANIZATION: _________________________________

ADDRESS: _______________________________________

CITY: __________________________________________

STATE: ___________

ZIP: ___________________

PHONE: ___________________

FAX: _______________

EMAIL: _____________________________

______ YES, I will be attending, but DO NOT need a hotel reservation ______ YES, I will be attending, and I WILL need a hotel reservation

HOTEL: Embassy Suites Albuquerque
1000 Woodward Place, NE
Albuquerque, NM 87102
505.245.7100

Please Note:

1. Mental Health America's NCSTAC will pay for your transportation to this meeting. To make airline reservations, please call Lynn Hendrick at Avenue Travel (1-888-548-5554 or lynn@avenuetravel.com) and inform Lynn that you are attending the NCSTAC Workshop Albuquerque, NM. Please schedule your travel to arrive on Sunday, January 6 and depart no earlier than 4:00 pm Wednesday, January 9. You may choose to stay in the hotel Wednesday and depart Thursday at no expense to you.
2. All travel arrangements should be made prior to December 28, 2007 to allow for the least expensive rate of transportation.
3. If you will be driving to the conference, please indicate that below. Mental Health America's NCSTAC will reimburse for mileage and parking at the Embassy Suites Hotel.

Mental Health America will cover hotel room for up to four nights. (Check-in: Sunday, January 6th - Check-out: Thursday, January 10)

I will need a room at the hotel on: (Date) _____________________
Time of Check-In: _____________ AM/PM
I will check out on: (Date) ______________________

I will need a room reserved for: _____ single _____ double _____ smoking _____ non-smoking

*If "Double" is selected, list the person with whom you would like to share a room. ________________________________

Traveling by: ______ Airline ______ Personal Car ______ Train

Special Needs: (please specify - vegetarian, wheelchair access, etc.) ___________________________________

PLEASE RETURN THIS FORM NO LATER THAN Thursday, December 27, 2007 TO MIKE KING - via fax (fax 703-684-5968) or email (mking@mentalhealthamerica.net). A room reservation will be made for you. There is no need for you to call the hotel directly if you send in this form by the designated date. Please make a copy of this form for your records. If you have any questions, - please call Dianne Dorlester at 703.838.7538.

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The Center for Mental Health Services is a component of the Substance Abuse and Mental Health Services Administration, United States Department of Health and Human Services.