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YOU HAVE BEEN DIRECTED TO THIS PAGE BECAUSE YOU NEED TO ENROLL MORE THAN 15 EMPLOYEES IN THE DOT DRUG AND ALCOHOL CONSORTIUM ADMINISTERED BY CRG.

DUE TO THE NUMBER OF EMPLOYEES YOU INDICATED NEED TO BE ENROLLED YOU MAY QUALIFY FOR DISCOUNTED ENROLLMENT FEES.  PLEASE COMPLETE THE FORM BELOW AND A REPRESENTATIVE FROM CRG WILL CONTACT YOU.