Media & Communications Alliance Canada Registration
First Name *
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Last Name *
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Email Address *
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City *
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Province *
Local Jamatkhana (if any)
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What area of media and communications do you specialize in? *
Are you a student or a working professional? *
Please fill in the form in this section if you are currently studying, otherwise skip to the next section
Name of Institution
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Name of Program
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How much experience do you have in the media and communications industry? *
What is your current job title/role? (Please state if freelance or self-employed)
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What organization/company do you currently work with?
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