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registration form
(Canada)
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First Name
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Last Name
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Gender
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Date of Birth
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Last 3 digits of your SIN (Social Insurance Number)
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Please type in the correct SIN.
Your SIN (last 3 digits) is required for registration in order to prevent multiple membership and line changes.
You will be required to submit the full 9 digits of your SIN when you wish to receive your commission. Mismatch of your initially registered last 3 digits will result in termination of membership if deemed to be double-registration.
Email
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Address
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Security Question
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What is your favorite children's book?
What was your childhood nickname?
What was the model of your first car?
Who was your favorite singer or character in school?
Who was your favorite film star or character in school?
What was the first name of your first boss?
In what city did your parents meet?
What was the name of your first pet?
What is the first name of your best friend in high school?
What was the first film you saw in the theater?
What was the first thing you learned to cook?
What is the last name of your favorite elementary school teacher?
Where did you go the first time you flew on a plane?
What is the name of the street where you grew up?
What is the name of the first beach you visited?
What was the first album that you purchased?
What is the name of your favorite sports team?
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Who referred you? (Member's name and/or Member ID)
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