The Alliance for Benzodiazepine Best Practices

Alliance for Benzodiazepine Best Practices Membership Program

Become a Member of the Alliance for Benzodiazepine Best Practices

The Alliance for Benzodiazepine Best Practices is committed to establishing and promoting best practices for education and training prescriptive practices and recovery from benzodiazepine injury.

Being a member of the Alliance helps foster solidarity and a sense of collaboration among medical professionals advocates and patients committed to fighting the rapidly increasing benzodiazepine crisis.

Join today and take advantage of the many benefits of becoming an Alliance member!

$ 75

Patients and Community Advocates

$ 150

Medical Professionals

$ 1,000

Corporate

Comments:

500 characters left

Payment Options *

Credit Card or Check/Debit Card

Bank Account Transfer (ACH)

Card Number

Security Code (CVV2)

Expiration Date

Yes! I wish 100% of my donation amount to go to The Alliance for Benzodiazepine Best Practices. I would like to pay the 2% processing fee associated with my donation.

Account Type(U.S. Banks Only)

Routing Number

Account Number

Yes! I wish 100% of my donation amount to go to The Alliance for Benzodiazepine Best Practices. I would like to pay the 2% processing fee associated with my donation.

Your Information

First Name *

Last Name *

Company

Title/Position

Billing Address *

City *

State *

Zip *

Province

Postal Code

Country

U.S. Phone

() -

International Phone

Email *

Would you like to join our mailing list?

All payments provided to The Alliance for Benzodiazepine Best Practices comply with U.S. laws and regulations.