Registration
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Use this form to apply for membership to the BPPA.

A real email address is required in order to confirm your application.

Fees for BPPA Memebrship:
Annual Membership: $150
Associate Membership: $75

Please send payment by mail to:
Graeme Outerbridge BPPA 
PO Box 182
SNBX
Bermuda
* This Field is required This Field IS NOT visible on profile Information for: First Name : Please enter your real first name.
This Field IS NOT visible on profile Information for: Middle Name : Please enter your real middle name.
* This Field is required This Field IS NOT visible on profile Information for: Last Name : Please enter your real last name.
* This Field is required This Field IS visible on profile Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
* This Field is required This Field IS visible on profile Information for: Username : Please enter a valid username. No spaces, at least 3 characters and contain 0-9,a-z,A-Z
* This Field is required This Field IS NOT visible on profile Information for: Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required This Field IS NOT visible on profile Information for: Verify Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
This Field IS visible on profile
* This Field is required This Field IS visible on profile
This Field IS visible on profile
This Field IS visible on profile
This Field IS visible on profile
This Field IS visible on profile
This Field IS visible on profile
This Field IS visible on profile Information for: Introduction/Specialties : This information appears next to your profile image. It can be anything you consider appropriate as an introduction to your work.
 
* This Field is required Required field | This Field IS visible on profile Field visible on your profile | This Field IS NOT visible on profile Field not visible on profile | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon

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