Individual Friend of NRRTS (IFON) Application

You’ll be provided with a login once your application is processed.

If you have questions contact Amy Odom at aodom@nrrts.org

IFON Form

Date*
MM slash DD slash YYYY
How do you want to receive DIRECTIONS?*
DIRECTIONS is only mailed in the United States. If you live in Canada, it will be emailed.
Name*
First Last
Gender*
- Male
- Female
Email*
Enter Email Confirm Email
Current Employer*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Phone*
Cell Phone*
Which mailing address do you prefer that we use?*
- Business
- Home
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Total number of years in the Rehabilitation Industry/Profession*
Position held with current employer*
IFON Level 1
IFON Level 1 No pre-payment is required. The annual fee is $75 USD. IFONS at this level receive NRRTS Continuing Education for $22.50 USD per course. You must log in to receive the discount. Your IFON subscription will be renewed on an annual basis.
IFON Level 2
IFON Level 2 Pre-payment is $112.50 USD. The annual fee is $37.50 USD for a total payment of $150 USD. Level 2 IFONS will see their pre-payment as a store credit of $112.50 USD to be applied toward Live Webinars, On-Demand Webinars, CEU Articles, or Bundles. Your subscription will be automatically renewed at this level on an annual basis.
IFON Level 3
IFON Level 3 Pre-payment is $225.00 USD. The annual fee is $0. Level 3 IFONS will see their prepayment as a store credit of $225 USD to be applied toward Live Webinars, On-Demand Webinars, CEU Articles, or Bundles. Your subscription will be automatically renewed at this level on an annual basis.
Product Name*
- Level 1 IFON $75
- Level 2 IFON $150
- Level 3 IFON $225
Total
$0.00
Credit Card
Card Details
Cardholder Name

IFON Form

IFON Level 1

IFON Level 2

IFON Level 3