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TRAINING REGISTRATION
Please submit the online registration form below,
or print this form and fax it to Fax 732 235-7144
To complete your registration, send a check
(made payable to UMDNJ-Tobacco Dependence Program), to:
Registration, Tobacco Dependence Program
125 Paterson Street, Suite 2300
New Brunswick, NJ 08903

For more information send an email to info@tobaccoprogram.org
or call the Tobacco Dependence Program at 732-235-8222

Comprehensive Fee for 5-day CTTS Training $975
(includes $100 non-refundable registration fee/deposit)
TRAINING CONFIRMATION
Upon submitting your registration, a separate confirmation will be sent to you.
If you do not receive this within 3 days, please contact us at 732-235-8222.