Band Member - Biigtigong Nishnaabeg

Name:*

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Band Number:* Band Number is Required

Front of Status Card:* Front of Status Card is Required

Back of Status Card:* Back of Status Card is Required

Current Photo:* Current Photo is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

No val Please fix the errors above

Free

	Band Member – Payment Free	$0.00
	Total	$0.00

Band Member – Payment

Free

$0.00

Total

$0.00