Sign Up

You can use this form to register a Non-Member account. If you would like to affiliate yourself to the Association, please contact us.

Given Name(s) * The given name(s) field is required.

Middle Name * The middle name field is required.

Last Name

Sex * The sex field is required.

Birth Date * The birth date field is required.

Personal Phone Number * The personal phone number field is required.

Country of residence * The country of residence field is required.

State of residence * The state of residence field is required.

Type of activity you perform * The type of activity you perform field is required.

E-mail * The e-mail field is required. The e-mail field must contain a valid email address.

Password * The password field is required.

Verify Password * The verify password field is required. The field verify password must be equal to password.