User Registration – Métis Nation British Columbia

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User Registration

First (Given) Name *

Last (Family) Name *

E-mail Address *

Confirm E-mail Address *

Phone *

Birthdate *

Gender *

Marital Status *

Please select one of the following options that best represents you MNBC citizenship.

Are you a registered MNBC Citizen? (toggle to click yes – you will be prompted to enter your citizenship #)

No Yes

MNBC Card Number *

Do you self-identify as Métis? (If you click YES to MNBC citizen this will disappear and you don’t have to answer – if you are not a citizen, click yes and leave that question blank) *

No Yes

Street Address *

City *

Province *

Resident outside of BC? Please contact us.

Postal Code *

Please select your region *

Office Use Only

If you are human, leave this field blank.