Membership Profile Information Please complete as many of the following fields as possible. We will use this information to update your membership profile with correct and accurate information for the upcoming election. First Name Middle Name Last Name Band Number Birth Date Civic Address Please start by selecting your country, and fill in the fields that follow. Street Address City Province ---ABBCMBNBNLNTNSNUONPEQCSKYT State ---ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Postal Code Zip Code International Civic Address Country---CAUSOther Previous Community If your current address is not in a ward, have you previously lived in a different Newfoundland community? Previous Community Name Mailing Address Please enter your complete mailing address if it is different than your civic address. Mailing Address Contact Information Please enter your contact information. E-mail Address Home Phone Work Phone Cell Phone