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Mental Health Empowerment Project, Inc.

Central Region Conference, Tuesday, May 15, 2007, Syracuse, NY

For groups only: Name of the individual or group attending:
Please provide the first and last name (or last initial) of all attendees, separated by a comma:

For all: (If a group, provide the following information for the primary contact person.)
Name:
Address 1:
Address 2:
City:
State:	ZIP Code:
Phone:
Fax:
Email:

Mental Health Empowerment Project, Inc.
116 Everett Road, Suite 7
Albany, New York 12205

Phone: (518) 434-1393
Toll Free: 1-800-643-7462
Fax: (518) 434-3823

To register by phone, please call the above toll-free phone number.

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Mental Health Empowerment Project, Inc
116 Everett Rd, Suite 7
Albany, NY 12205
Phone: 518-434-1393 or 1-800-MHEP-INC
Fax: 518-434-3823

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