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AAFA Membership form
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Title/Titre
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Associate Professor
Dr
Professor
Mr
Mrs
Ms
First Name/Prénom
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Last Name/Nom de famille
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Job title/Profession
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Institution
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Address/Adresse
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City/Ville
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Country/Pays
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Email address/Adresse e-mail
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Telephone/Téléphone
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How many AAFA events have you attended?/ À combien d’evenements de l’AAFA avez-vous assisté?
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One
Two
Three
More than three
None
How did you hear about the Association? / Comment avez-vous entendu parler de l'Association?
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Email from AAFA
Social media (i.e. Facebook, Twitter, LinkedIn etc.)
Website of the AAFA
Others (referral from some etc.) / Autres (référence de certains, etc.)
Preferred language of communication / Langue de communication préférée
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English
French
English and French
Please confirm if you would like to continue receiving marketing information about the services of the AAFA. /Veuillez confirmer si vous souhaitez continuer à recevoir des informations commerciales sur les services de l'AAFA.
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Yes / Oui
No /Non
Other comments / Autres commentaires
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