In-Person Recovering Marriage Process Group Sign Up Form

We, at Recovery Alive, are so excited that you have decided to take the next step in your recovery journey! Please fill out this entire form, and our team will be in contact with you soon!

Your Name (First and Last)*

Your Spouse's/Partner's Name (First and Last)

Your Email*

Your Spouse's/Partner's Email

Your Phone Number*

Your Spouse's/Partner's Phone Number

Please list preferred day and time of meeting*

210 Peedin Rd., Smithfield, NC 27577

919.300.1021

info@recoveryalive.com

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

EIN 87-2049283

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