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Additional member



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Membership type You will be charged the highest fee only.

AC # * Lookup
Select all types that apply to this individual. *
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General information

First name: *
Last name: *
Birth date: *
Month…
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Preference: *
Gender: *
Self-description
Band name
Citizenship: *
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Shared
Birth Country: *
Lookup
Shared
Aboriginal: *
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Contact information

Primary Email: *   
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Secondary Email:
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Address: *
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Address 2:
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City: *
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Province: *
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Country *
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Postal code: *
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Phone:
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Other information

Parent/Guardian:
Primary Email:
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