Traditional Elder

This member shall be any individual who is recognized as a Traditional Elder within the First Nation community and is interested in furthering the goals of the Association.

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

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Employers Address: Employers Address is not valid

Designations: Designations is not valid

Gender: Gender is not valid

Age: Age is not valid

Education Level:: Education Level: is not valid

Are you:: Are you: is not valid

Name of Nation (If Applicable): Name of Nation (If Applicable) is not valid

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Password Confirmation:* Password Confirmation Doesn't Match

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$25

	Traditional Elder – Payment $25	$25.00
	Total	$25.00

Traditional Elder – Payment

$25

$25.00

Total

$25.00