Membership Registration (Backup method)

Note: If you’re attempting to edit your profile you should login first. You can also ignore the next paragraph.If you already have an account on Phillipsalum.org from previous purchases, please login first, then fill out this registration form. If your existing password doesn’t meet the strength requirements this form requires, just enter a new password which does. We encourage stronger passwords, e.g. 12 characters and extra special characters, numbers, etc.

PUAFA Member Registration

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PhillipsAlum.org Member Registration

Please provide as much information as possible.

First
Middle or Maiden Name
Last Name
Must be at least 8 characters. Upper and lower case letters (a-z) and numbers (0-9), ‘.’ and ‘-‘ are allowed.
cancel1 check1 Eight characters minimum cancel1 check1 One lowercase letter cancel1 check1 One uppercase letter cancel1 check1 One number cancel1 check1 One special character
Enter Password
Confirm Password
Provide landline if mobile not available.
Enter Email
Address
Address
Street
Apt/Suite
City
State/Province
Zip/Postal
Option: Additional Information
Provide any relevant information regarding your story.
Please enter the name of your spouse if they attended Phillips.
Enter the names of other family if they attended Phillips.

Final Exam Questions

Select the correct answer.
Select the correct answer.

Provide your clubs and organizations.

If you don’t find yours, choose Other from the Secondary List and complete the Other field.
To make multiple selections, hold the Command or Ctrl key and click. If you don’t find yours, choose Other and complete the Other field.

Please provide your years and areas of study or work at Phillips.

Degree(s)
If you were a member of the faculty or administration, check Other and indicate your service.

Indicate with whom we may share your contact information. You can also elect to share with your club and/or our related organizations.

Note: If you leave all the toggles set to No, nothing will be shared.

Sharing Options

Share w/in
PUAFA

Specify what contact information you want to share.

Share with
PTS

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Share with
PULF

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Share with
Club

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