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Enter required fields below. Then click "Create Account"


Personal Information
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Prefix:
First Name:
Middle Name:
Last Name:
Suffix:
Nickname:
 
Address Information
Please select your country first and the “State” input field will be populated with available states, provinces or territories of your country.
 
Home Address:
City:
State:
Postal Code:
Country:
Is Primary Address:
 
Phone Information
Home Phone:     Ext:      Primary: 
 
 
E-Mail Address Information
A primary e-mail address is required for using this web site. It will be used as the login ID to be able to log in to the site.
 
Work E-Mail:     Primary: 
Home E-Mail:     Primary: 
 
Password needs to be at least 6 characters in length.
 
Password:
Confirm Password:
 
 Please provide the following additional information
 Teaching Level: 
 Student Status: 
 Organization/Affiliation: 
 Professional Status: 
 Annual Salary: 
 Date of Birth: 
 Gender: 
 Job Title/Position: 
 Reason for Joining: 
 Highest Level Attained: 
 Occupation: 
 Media - Type of Clay: 
 Technique/Methods Used: 
 Firing/Decoration Method: 
 Style of Work: 
 Genre: 
 Artist Services Offered: 
I understand that NCECA sells its mailing list and as a Member, I may request that my name NOT be included. By checking the box you indicate you do NOT want your name to be included in an NCECA Mailing list that is sold:
 Ethnicity: 
 Deceased: