Request for Membership Form -

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Web Authentication*

Please provide your facebook identity with link for our authentication purposes
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Reference (1) Name*
Name
Reference (1) Phone*
Reference (2) Name*
Name
Reference (2) Phone*
Academic Info
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This photo will be used in MAUC's membership directory. Please try to use formal photo like passport/national ID.
After reviewing your details we will send you the MAUCBD Membership form via email. Thank you. MAUCBD Team
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