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Profile Add

Create your profile to make registration simple and easy! 
 
Please select the membership type at top of profile (Single Membership), then enter your information.
Separate profiles must be created for each membership, even if emails are shared.

* denotes required information.
Purchase Membership?

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Username: minimum 6 characters
Password: minimum 8 characters, must contain a number and any two of the following three: upper case, lower case, special characters (for example: (){}!@$%^&*)
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 Privacy Policy
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Name Prefix
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Mail preference
May we include you on our mailing lists?
Yes No
Secondary Email Address

Primary Address
 
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Secondary Address
Secondary Address From Date
Secondary Address To Date
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Additional phone
 
Birthdate
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Relation
URI Alumni
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Alumni Class Year
Educational Level
Employment Status
Member Occupation
Referral*