UMISA Online Membership Form
First Name: *
Surname: *
Gender: Female Male *
Are you student? Yes, at U of M , If yes U of M Student Number: *
(UMSU Required)
Yes, at U of W
Yes, Other Institutions
No
Your E-mail Address: *
Are you interested to co-operate in UMISA's events? Yes No
IF yes please briefly explain how (e.g. Organizing events, Playing musical instruments,
Singing, Dancing, Performance,... etc):
Your Mailing Address:
City: Province: Postal Code:
Phone Number:
Terms and Privacy Policy:
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I have read and accepted UMISA's Terms and Policies *
* Required Field.