Join the London Drug and Alcohol Network

Please complete this form to join the London Drug and Alcohol Network (LDAN). Annual cost £50.

Please note this form is for LDAN membership and not for DrugScope membership.

	Title
	Forename
	Surname *
	Job title
	Orgamisation (if applicable)
	Email address *
	Address *


	Town *
	County *
	Postcode *
	Telephone *
	Please select which areas relate most closely to your work (tick as many as you like)	Drug treatment provision Commissioning Public health Criminal Justice Education and prevention Young people Families/ carers Mental Health Housing Other (please state)