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[name]

[name]
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* This Field is required Information for: Username : Please enter a valid username.  No spaces, at least 3 characters and contain 0-9,a-z,A-Z
* This Field is required Information for: Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required Information for: Verify Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required Information for: Email for LAWiM Member Services Use (non-published) : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
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Information for: Parent/Guardian Name (required if UNDER 18 years of age) : <p>We MUST have contact info for a parent/legal guardian for any member under 18 years of age. Please fill out the parent/guardian name, email &amp; phone fields.</p>
Information for: Parent/Guardian Contact Phone (required if UNDER 18 years of age) : <p>We MUST have contact info for a parent/legal guardian for any member under 18 years of age. Please fill out the parent/guardian name, email &amp; phone fields.</p>
Information for: Parent/Guardian Email (required if UNDER 18 years of age) : <p>We MUST have contact info for a parent/legal guardian for any member under 18 years of age. Please fill out the parent/guardian name, email &amp; phone fields.</p>
* This Field is required Information for: Professional Name : Please indicate your name exactly as you want it to appear in the Member Directory.
Information for: Instruments : Check ALL that apply.
Information for: Service/Occupation : Check ALL that apply.
Information for: MySpace : This is a live link to your MySpace page. If the full address is not there,  people will not be able to "LINK" to you.
Information for: LinkedIn Public Profile : This is a live link to your LinkedIn PUBLIC Profile page. It has be pre-filled with the  front end of the LinkedIn address. If the full address is not there,  people will not be able to "LINK" to you. <br />
Information for: Twitter Page : This is a live link to your Twitter PAGE. It has be pre-filled with the  front end of the Twitter address. If the  full address is not there,  people will not be able to "LINK" to your Twitter page to follow you!<br />
Information for: Facebook Page : This is a live link to your Facebook page. If the full address is not there, people will not be able to "LINK" to you.
Information for: Other Site : This is a live link to a website page. If the full address is not there,  people will not be able to "LINK" to you.
Information for: Other Site : This is a live link to a website page. If the full address is not there,  people will not be able to "LINK" to you.
Information for: Additional Info : You can use this field to clarify your profile, list affiliations, etc.<br />
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Information for: Website : You may include ONE website/social media address for your profile. This will be viewable by LAWiM members.
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