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You will receive a confirmation email upon submission of this form, along with login directions and how to complete your public profile (Local Supporter).

Ihr Benutzername; Satzzeichen sind mit der Ausnahme von Punkten, Bindestrichen und Unterstrichen nicht erlaubt.
Eine gültige E-Mail-Adresse. Alle E-Mails der Website werden an diese Adresse geschickt. Die Adresse wird nicht veröffentlicht und wird nur verwendet, wenn Sie ein neues Passwort anfordern oder wenn Sie einstellen, bestimmte Informationen oder Benachrichtigungen per E-Mail zu erhalten.
Given name/prenom/vor name/nombre
Family name/nom de famille/name/apelido (surname). This is the name the system will use to "find" you. If you use only one name, please put a period in the first name and put your one name in the last name box.
Please enter the complete postal address we would use to send a package to you from outside your country, including your country's name. Please use commas for line breaks.
Phone type/location #1
Your primary contact telephone number or Skype ID. This will not show on the public website. Please put the number someone inside your country would dial to call you first--national number-- followed by the number someone would dial from outside your country, in parentheses, beginning with "+" followed by your country code. For example: "01865.555555 (+44.1865.555555)" (USA/Canada: "areaCode.prefix.4numbers (+1.areaCode.prefix.4numbers)")
Secondary phone type/location
Your secondary contact telephone number or Skype ID. This will not show on the public website. Please use the same formatting as for the primary phone: national number (international number)
Are you willing to be listed on the cnvc public website (www.cnvc.org)? If so, please select "yes" button and set up your public website information below(Fields starting with Public). If you select "No", any information you enter in the fields below will be deleted.
People who are normally listed on the CNVC public website are CNVC certified trainers, local nvc supporters, local nvc groups, local nvc websites, organizers, the executive director of CNVC, the director of educational services at CNVC, the CNVC international project coordinator, CNVC board members.
Staff members can enter their job title, which will show on the staff page, to help people determine who they want to contact.
Primary phone type/location
Your primary public contact telephone number or Skype ID. This will show on the public website. Please put the number someone inside your country would dial to call you (national number) first, followed by the number someone would dial from outside your country, in parentheses, beginning with "+" followed by your country code. For example: "01865.555555 (+44.1865.555555)" (USA/Canada: "areaCode.prefix.4numbers (+1.areaCode.prefix.4numbers)")
Secondary phone type/location
Your secondary public contact telephone number or Skype ID. This will show on the public website. Please use the same formatting as for the primary phone: national number (international number)
If you have an NVC-related website you want to list, please enter the name and URL here.
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Copy the characters (respecting upper/lower case) from the image.