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Join the Prevention Think Tank National Registry of Prevention Professionals (NRPP)

If you would like to be a member of the National Registry of Prevention Professionals (NRPP)you can join for $35 per year.  Complete the sections below to be included in the National Registry of Prevention Professionals.  Here are the four (4) steps:

1)  Send a check for $35 payable to the Prevention Think Tank, Inc. and write "registry" in the memo field. Use the address that is listed in the menu item Contact Us.  OR -- use this link [PayPal Link] to pay by credit card (or an electronic check) with PayPal. Sorry, we cannot accept purchase orders or do invoicing.

2) You will also need to sign and send in  the Code of Ethical Conduct.  You can download the form from this website. Send it in with your check, or if paying by credit card you can fax it to 866-481-0735.

3) Fill out the electronic form below and press SEND. We need this information electronically to avoid data-entry errors on our end and to speed up the process. 

4) Optional - If you would like one or two (1 or 2 only) graphics included in your listing (such as a logo or a picture), please email the graphic "jpeg" or "gif" file to pttinc@preventionthinktank.org and specify in the body of the message the NRPP entry for which the graphic is intended (full name and email). You can also mail hard copy pictures and/or logos to be scanned, but if you want them returned to you be sure to include a stamped addressed return envelope. Use the address that is listed in the menu item Contact Us.

All information requested below is OPTIONAL except your name, and you need to provide at least one method of contact (address, telephone, fax and/or email).  Hint: For your privacy, we suggest that you do not use your home address unless you also use it as your business address.

    Full Name:              

    Address1:               

    Address2 :             

    City, State, Zip:      

    Telephone:             
    Hint: we suggest you list only a business number here


    Email:                      
    Hint: to avoid "spam" in your regular email, you might want to obtain a web-based email address, such as those from yahoo.com or hotmail.com


    Fax:                         

    URL - WEb Link:    

    Gender:                    

    Prevention categories you work in:
    Limited to 200 characters


    Describe your areas of expertise: 
    Limited to 300 characters
    Other relevant affiliations:
    Limited to 150 characters              

    Credentials (up to 40 characters):                  

    Available as consultant? how often?:
    Limited to 150 characters



     

Contact the Prevention Think Tank at pttinc@preventionthinktank.org