Membership Renewal

Membership Type - Use the drop down menu to select your membership*
Institution Name/Business Name*
Member Name*
First Last
Member Email*
Member Phone*
Name of Person Filing Out Form
First Last
Address - must be credit card's address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
CAPTCHA
Total
$0.00

info@collegiaterecovery.org

Mailing Address:
P.O. Box 1541
Kennesaw, GA 30156

COLLEGIATE RECOVERY PROGRAM

A Collegiate Recovery Program (CRP) is a college or university-provided program that includes a supportive environment within the campus culture. CRPs reinforce the decision to engage in a lifestyle of recovery from addiction/substance use disorder. It is designed to provide an educational opportunity alongside recovery supports to ensure that students do not have to sacrifice one for the other.