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Affiliate Georgia

Solving The Problem
- Solving the Problem
- We know what it takes to end drunk driving, fight drugged driving and educate the next generation of drivers. But we still need help to reach the day that no one experiences a broken heart due to impaired driving.
Get Help
- Get Help
- Answering the call for help is at the heart of Mothers Against Drunk Driving’s mission. Whether you have questions or have suffered the ultimate loss of someone you love, you’re not alone. We’re here for you and we will help you.
Get Involved
- Get Involved
- Behind every drunk and drugged driving statistic is a person whose life was full of family and friends, love and life, joy and laughter. Mothers Against Drunk Driving has several ways you can help create a future of No More Victims^®.
About MADD
- About MADD
- At Mothers Against Drunk Driving, we’re focused on one goal: ending impaired driving for good. Since our founding, we've served as a lifeline for thousands of victims and survivors, and drunk driving fatalities have been cut in half — but we refuse to stop there. Together, we can end this 100% preventable crime.

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MADD Georgia Event Request

Please complete the requested information below. A MADD Georgia Staff Member will follow up regarding your request within 5 business days.

If your event is scheduled within the next 2 weeks, please complete this form and then call the MADD Georgia State Office at 770-615-3737.

MADD Georgia Appearance Request Form

Fields marked with an * are required

"*" indicates required fields

Date (Today)*

Deadline to Confirm Appearance*

Please put the deadline for MADD Georgia to confirm/send regrets about participating in this opportunity.

Requestor Name*

Email*

Phone*

Please describe the event.*

Date of Event*

This is the date the event will occur.

Event Location*

What is the event time frame? (ex. 10am - 2pm)*

Please be sure to include the event start time and end time, with AM/PM designations. For example, 10am-2pm.

Please list what time MADD needs to arrive to set-up (include AM/PM).*

Name of the Event*

Location of the Event*

Event Address*

Please list the subject focus of this event, i.e. Pre-Prom, Underage Drinking Prevention, Health & Wellness, etc.*

What services are you requesting from MADD Georgia for this event?*

Prevention Speaker

Victim/Survivor Speaker

MADD Panelist

MADD Staff Speaker

PowerPoint/DVD Presentation

Table Display

Victim Photos

Crash Photos

What technological aides will MADD need to supply?*

Laptop

Projector

USB Drive

None of the above.

Please state the desired length of the MADD presentation.*

How many presentations will MADD lead during this event?*

What demographic is this event catered to?*

How many attendees are projected?*

Please provide any additional details regarding the event that may be relevant for MADD Georgia to know.*

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Mothers Against Drunk Driving | 511 E. John Carpenter Freeway | Irving, TX 75062 | 877.ASK.MADD (877.275.6233)

Mothers Against Drunk Driving is a 501(c)(3) non-profit organization EIN 94-2707273

© 2021 MADD. All Rights Reserved

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