Subscription

Name:

First name:

Birth date: (yyyy-mm-dd format)

Profession:

City:

Mobile phone:

E-Mail:

Website:

Be visible in the members list: If you check this box (and if you are up to date with your contributions), your full name, website address ad other informations will be publically visible on the members list.
If you've uploaded a photo, it will be displayed on the trombinoscope page.
Note that administrators can disabled public pages, this setting will have no effect in that case.

Username: (at least 2 characters)

Password: A link will be sent to you if you have provided an email address. Otherwise, you can use this password to login, and we recommend you to change it as soon as possible. Please repeat in the field the password shown in the image.

Cotisation / Don (not translated) Select an option 25 DH Une année 50 DH Deux années 50 DH + Don pour ALIS 25 DH + Don pour ALIS

Amount