ACT (Assessment Course Treatment) Training

Wingate Inn
2007 N Oakes Helena, MT
May 14-16, 2008
NOTE: There is no registration fee for this course.

Please fill out the information below and press the submit button. The information will be sent to the State Highway Traffic Safety Bureau so the request can be processed. To maneuver through the form, use your mouse or tab/arrow keys.

As an alternative, you may also print and fill-in a hard copy of the registration form.

Please send the hard copy to:
State Highway Traffic Safety Bureau
ATTN: Pam Buckman
2701 Prospect Ave
Helena, MT 59620

Or fax to:  406.444.9409

If you have any questions, please call Pam Buckman at 406.444.0809 or email her at .
ACT Training Registration    * = required field

* Participant's First Name
* Last Name
* Address
* City
* Zip Code
* Organization
* Area Code/Phone
E-mail

* Are you a Licensed Addiction Counselor? yes   no
* If you answered no above, please indicate your current occupation:

* I plan on attending
The full three-day workshop May 14-16, 2008

One-day workshop only – “Update on DUI Law” May 14, 2008

(Participants must attend the entire 20-hour course to receive certification)

  

Session Details
The sessions will be at the following times with one hour lunches May 14th and 15th:
May 14 8:00 a.m. – 5:00 p.m.
May 15 8:00 a.m. – 5:00 p.m.
May 16 8:00 a.m. – 12:00 p.m.
Hotel Room Information
(Participants are responsible for their own hotel reservations which must be made by April 30, 2008 for the following rate)
Wingate Inn (ask for Missy)
2007 N Oakes Helena, MT
406.449.3000 or 1.866.300-7100
Room Rate - $73 plus tax - per day

State Highway Traffic Safety Bureau 2701 Prospect Ave Helena, MT 59620 Fax: 406.444.9409