I. Your Name

Last Name
First Name

II. Your Preferences

Where would you prefer to receive your mail?
At home At work

Preferred language
English French

Preferred Email
Preferred Phone

III. Your Coordinates @ Home

Address
City
Province
PostalCode

IV. Your Coordinates @ Work

Organization name
Position
Address
City
Province

V. Miscellaneous Information to Confirm Identity

Year of Graduation
Degree
Date of Birth (optional)(dd/mm/yyy)