SWYAA Canada Members / Membres BJM Canada
In order to communicate with its members, SWYAA Canada would like to add you to its database. Thanks for providing the following info: / Afin de communiquer avec ses membres, AABJM Canada voudrait vous ajouter à sa base de données. Merci de nous partager les informations suivantes:
First Name / Prénom *
Your answer
Last Name / Nom de famille *
Your answer
Gender / Genre *
Please select which of the following apply to you. / Lesquelles des phrases suivantes d'appliquent à vous? *
Required
What SWY batch(es) were you on? / À quel programme avez-vous participé? *
Required
Primary email address / Adresse courriel *
Your answer
Second email address / 2e adresse courriel
Your answer
Phone number / Numéro de téléphone
Your answer
Address / Adresse *
Your answer
Apartment Number / No. d'appartement
Your answer
City / Ville *
Your answer
Province *
Postal Code / Code Postal *
Your answer
Country / Pays *
Your answer
I accept to received emails from SWYAA Canada. / J'accepte de recevoir des courriels de l'AABJM Canada. *
Required
Tell us how you would like to be involved with SWYAA Canada. / Comment voudriez-vous vous impliquer au sein de l'AABJM Canada?
Any comments or suggestions are welcome. / Avez vous d'autre chose à ajouter?
Your answer
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