Become a Member

Join us in our mission to serve all those seeking recovery from the impact of addiction including families, friends and allies. Together we can make a difference.

We invite you to download and complete our  Membership Form below.


  1. Click our fillable .PDF form link on the right
  2. Answer all questions to your preference
  3. Save the newly filled form to your device
  4. Attach your filled form to an email and send it to us at
  5. A member of our team will follow up with you shortly!