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  create personal info 
Thank you for trying out the Affiliate Directory Program. Please add yourself to the directory by filling out this form. Please use your TRUE information, not fictitious data. This will allow other affiliates to contact you from time to time.
 
First Name
Last Name
Birthday
 /   / 

 
CHAPTER NAME
Choose one from the list of registered chapters
Your IUF CodeName
Your Title or Position
Past and/or Present [e.g., Grand President, Founding (1998); Bro Admin, SU (1999)]
Affiliation Date
 /   / 
Age of Affiliation
years old
School of Affiliation

 
Do you want your home address to be displayed in the directory?
Yes, I want my address to be displayed in the directory.
Home Address Line 1
Home Address Line 2
City / Municipality
 
Do you want your boarding address to be displayed in the directory?
Yes, I want my address to be displayed in the directory.
Boarding Address Line 1
Boarding Address Line 2
City / Municipality

Display your Phone Number?
Yes, please include my phone number in my listing.
Phone Number including area code
Display and link to your email address?
Yes.
Do you want to conceal your email address but still allow people to send
"blind email" to you?
"Blind Email" hides your email address by replacing your email entry with a button that links to a contact form, instead of your writen email address
Yes, I want others to write me
without knowing what my email address is.
Email Address in Correct Internet Format
(e.g., 123465_90@internet.com)
Web Address of your personal page
(Leave blank if you don't have one)
Church Affiliation
Interests / Hobbies
Motto
Illnesses
Vices
Smoking
Drinking
Drug Addiction
Gambling
Others (specify below)
      
Give a "blurb" about yourself
This can include educational background, work history, favorite foods / places / people, etc. Do not include HTML tags

Password
Passwords grant you access to the online roster, clandestine information, and to your own profile. Use the password in partner with your registered codename.

Note: This field is not masked so you can see the password that you entered in the field. However, they will be masked when the server requests for it (when updating profiles, etc.).

Once submitted, your request will be sent to our servers where it will be verified for accuracy. You should receive email confirmation within a few days  that your request has been received and your profile has been posted. If you do not receive email confirmation and you are a registered affiliate, please resubmit your entry, and be sure to include a valid email address in INTERNET format
 .