Don't Delay!   Take Positive Preventative Action
Today...

Please send me _____ copies of the DVD "Criminal
& Civil Liability for Sexual Misconduct in Mental Health Care
Organizations"
with the accompanying Resource Guide at
$150 each. (Price includes shipping and handling.) 
I have enclosed a check, payable to MHRRG, for $___________.

______________________________________
Name/Title

______________________________________
Organization

______________________________________
Address

______________________________________
City/State

______________________________________
Zip

Telephone (______) ______________________

Best time to call: [  ] a.m.     [  ] p.m.

Yes! I want to learn more about the Mental Health Risk
Retention Group.

[  ] Send me more information.  [   ] Have a representative contact me.

Is your organization a member of:

[  ] National Council for Community Behavioral Healthcare

[  ] Mental Health Corporations of America

Mail to: 
Mental Health Risk Retention Group
Negley Associates
103 Eisenhower Parkway
Suite 101
Roseland, NJ 07068