INDIVIDUALS - Affiliate Additional Application Subscription Personal Info - CBIA

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INDIVIDUALS - Affiliate Additional Application Personal Info

You have the option of uploading your photo which will appear in the Member Directory

Member Photo

Gender Pronoun

He/Him

She/Her

They/Them

First Name *

Last Name *

Title *

Department

Email *

Work Phone

Work Ext

Cell Phone

FIRM INFORMATION

Firm Name *

Firm Address

Address Line 1 *

Address Line 2

City *

Country *

Province/State *

Province/State

Postal/Zip *

Firm Phone

Fax No

Please provide a brief description of your role and/or responsibilities.

This information will be provided to the Board of Directors as they review the Membership Application.

Roles / Responsibilities

The voice of Canadian institutional bond investors