Registration

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Membership Levels
Enhanced Membership
Regular Membership
Email Information

Your preferred email address for contact is:

Alternate email address:

Login Information
User Name:
Password:
Confirm Password:
Membership Information
First Name:
Last Name:
Employer:
If your employer is not listed, contact us at members@ppac.us.
Title:
Department:
Employer Information
Address:
Address (cont.):
City:
State:
ZIP Code:
Phone number:  -   -    ext. 
Mobile number:  -   - 
Fax number:  -   - 
Web Site address:

Begin web site address with http:// or https://
Home Information
Address:
Address (cont.):
City:
State:
ZIP Code:
Phone number:  -   -    ext. 
Birthday:  / 
Additional Information and Settings
Keep Profile Private:
Yes No
If "Yes" is selected, membership information will
not display in the frontend member directory.
NIGP national member?
Yes No
If so what year did you join?
Year joined PPAC:
NIGP Membership Number:
Board Position:
E-mail Preferences:

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Receive General Emails:
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Job Opportunities E-mail Alert:
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Comments and/or Special Instructions