Online Membership Form

When you become an LRSAC member, you’re joining more than a coalition. You’re joining a movement to build safe, healthy, drug-free communities and empower youth and adults to reject harmful drugs so they can reach their full potential. To help our members do this critical work effectively, we provide 5 different membership categories with unique benefits to meet your needs - please join us!

 

Friend of LRSAC

Any individual with an interest in supporting substance use recovery, treatment and prevention programs and in building safe, healthy and drug-free communities in the Lakes Region of Western Maine. *A limited number of scholarships are available upon request.

 

Professional member

Any individual who works in the substance use or behavioral health field, but does not belong to a specific organization and is interested in supporting coalition efforts for building safe, healthy and drug-free communities in the Lakes Region of Western Maine.

 

Community-based organization member

A formal arrangement for cooperation and collaboration between groups or sectors of a community, in which each group retains its identity but all agree to work together toward a common goal of building safe, healthy and drug-free communities in the Lakes Region of Western Maine.

 

Special interest group member

Any department or agencies within state or local governments, treatment/recovery centers or other organizations interested in supporting coalition efforts for building safe, healthy and drug-free communities in the Lakes Region of Western Maine.

 

Sustaining member

State associations, national organizations, single state authority for alcohol, tobacco and other drugs, or any other entity with an interest in sustaining local substance use prevention, treatment and recovery programs and in building safe, healthy and drug-free communities in the Lakes Region of Western Maine.

 

Please complete the fields below and click submit to send us your membership form. Once you have submitted the form, please click the Donate button to pay your membership fee by credit card.

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Your membership is almost complete. Please click the button below to submit your information, then click on the PayPal button to pay by credit card.