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Member Registration 

Thank you for your interest in becoming a Pink-Link member. For breast cancer survivors, becoming a member of the Pink-Link community is a two step process.

For friends and family, becoming a member of Pink-Link only requires the first step.

Please fill out this quick registration page and the short one page questionnaire that follows.

Questions with an asterisk are required. You may answer the other questions now, or if you'd like you can answer them later by clicking on the 'Edit my Profile' button in the Pink-Link Member's area.

You will be asked to choose a Pink-Link member name. Other Pink-Link members will see only this name associated with your profile. Your can use your real name, a nick name, or a pseudonym to protect your identity.

The password you choose should be one that you do not use elsewhere. For example, do not use the password you use for accessing amazon.com or ebay.com.

Remember, the more information you provide, the better we will be able to provide you with the full Pink-Link benefits and services.

After completing these two pages, you will receive an email in the inbox of the email you registered with. Click on the link in that email, or copy the link into a new browser. This will complete your registration process, and you will be able to log in as a member and use the member's only pages of Pink-Link. We do this to insure your privacy.

    Member Name and Password Information

Member Name:*
Password:*
(6 - 15 characters)
Confirm Password:*
    Password Retrieval Information
Auth Question:
Auth Answer:*
    General Member Information
Membership Type:
First Name:*
Last Name:*
DOB: Month/Day
Gender:
Age Range:
Email:*
    Journal Information
Who would you like to be able to access your journal ?
Journal Password :
Journal Description :
    Member Profile Information
5 Digit U.S. Postal Code:*
   Enter 00000 for "unknown"
Country:
Ethnicity:
Education:
Occupation:
Languages Spoken:
In addition to English
Hobbies/Interests:
How did you hear about us ?
If you selected "Other"
please provide details
    The Power of Positive Pinking monthly email.
I would like to receive the periodic The Power of Positive Pinking updates via Email.
    Terms and Conditions
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