Power Group Connect Form

We are so excited that you have visited Recovery Alive! Please fill out this form so we can better help you on your recovery journey.

First name*

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Multi-line address

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Address

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Are you joining Online or from Temple City Recovery?*

Online

Temple City Recovery

How did you hear about Recovery Alive?

If you feel comfortable sharing, what brought you to Recovery Alive?

210 Peedin Rd., Smithfield, NC 27577

919.300.1021

Recovery Alive Inc. is a proud 501(c)(3) charitable nonprofit

EIN 87-2049283

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