Retiree 目录 Registration

Please fill out the following information to register in the retiree directory. All required fields are marked *

Personal Information

第一个名字: *

姓名: *

电子邮件: *

配偶/伴侣:

家庭电话: *

xxx-xxx-xxxx

手机: *

xxx-xxx-xxxx

部门:

Account Information

用户名: *

密码: *

确认密码: *

永久地址

地址线1: *

地址线2:

城市: *

状态: *

邮政编码: *

xxxxx

Dates you occupy this address:
Start Month you occupy this address Start Day you occupy this address 直到 End Month you occupy this address End Day you occupy this address

季节性的地址

地址线1:

地址线2:

城市:

状态:

邮政编码:

xxxxx

Seasonal 家庭电话:

xxx-xxx-xxxx

Dates you occupy this address:
Start month you occupy this address Start day you occupy this address 直到 End month you occupy this address End day you occupy this address

其他信息

评论:

What information should be displayed in the directory?
家庭电话
手机
永久地址
季节性的地址
Seasonal 家庭电话
电子邮件

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