Pledge Form


Your pledge will fund a national print and internet ad campaign, television and radio spots, patient brochures and other means of educating our target populations comprising the public, healthcare professionals, and policy makers to promote psychotherapy as a first line treatment for behavioral disorders and the value and need for appropriate diagnosis and treatment by qualified behavioral health providers. The on-going results of the drive will be posted on the this website so everyone can see the amounts raised.

The National Alliance of Professional Psychology Providers is starting the campaign with a $70,000 pledge.

This form will record your pledge, only. Once our fundraising goals are met, you will be
contacted at that time to honor your pledge.


Typically, contributions to non-profit organizations for the purpose of public education campaigns are tax deductible. However, this should be confirmed with your tax professional.

Today's Date: Name:
Address:
City:
State: ZIP:
Email Address:
Area Code: Contact Telephone:
Are you a:
Amount pledged to drive:$

Do you agree to have your name and pledge made public?
If yes, your name and pledge amount will appear on a special page on our website and will be available for public viewing.


By submitting this pledge you agree that when NAPPP reaches the funding level for the drive, you will honor your pledge and promptly remit the amount pledged.