Registration – Alkebulan Commonwealth

Name *

First

Last

Title

Gender

Marital Status:

Username *

Email *

Password *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Occupation:

Phone no

Company:

What skills do you have that could be useful to the group?

Is there any Commonwealth Team that you would like to join?

Type of membership applied for

Premium Membership
Social Condition Membership

Reason for Social Condition Membership

AFFIDAVIT/NON DISCLOSURE

I *

put name & surname act as signature

hereby declare that all the information given above is true and correct. As I am applying for the Alkebulan Commonwealth society membership, I also admit to have read and understood the terms & conditions of Alkebu Commonwealth membership and I hereby swear to act according to the binding terms stipulated in the above general terms of membership.