FORMS FOR PROGRAM

Our APPLICATION FORM,     PAGE 1      AND      PAGE 2 is linked from here. Please review the two pages carefully and complete all information fully and truthfully. You may download a copy and email it back completed as an attachment to:
henryocarn480@hotmail.com
or you may mail it to:
  • LARRY L. SEITZ   
  •  PO Box 218          
  • Stewartstown, Pa. 17363

EMAIL TO:

  • larry.seitz@just4todaysoberliving.com

 

PLEASE FEEL FREE TO CALL 717-495-2674 OR 717-887-7906 IF YOU HAVE ANY QUESTIONS CONCERNING THE APPLICATION FORM OR OUR PROGRAM.

MEMBERSHIP AGREEMENT FORM

PROGRAM GUIDELINES