Registration | BINAM-AZ

Username *
Password *
First Name *
Last Name *
Primary Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Primary Phone *
Occupation (Optional)
Is any of your parents a Bamileke? *
Yes
No
Village *
How did you hear about BINAM-AZ? *
Do you intend to join BINAM-AZ as individual or with the family *
Gender *
Membership Level *
Members Only
Profile Image
Electronic Signature *
I do agree with BINAM-AZ Terms and Conditions
By checking this box, I hereby confirm that I either have a Bamileke parent or a Bamileke spouse. I further commit to respect all rules and bylaws of BINAM-AZ and not to engage in any business or activity that will damage the image of BINAM-AZ or any of its subsidiaries. I further understand that at any time BINAM-AZ does not have enough volunteers to serve in the executive or the committees, I may be selected by random drawing to serve unless I have already served in a previous executive or a similar position. Providing wrongful information or failure to abide by this commitment may lead to the revocation of my membership at any time.

One Voice