Member Registration – Exchange Club of Waterloo

Exclusive for Members of the Exchange Club of Waterloo. Please use this form to register for access to the website and use the Access Code given to you by one of the officers.

Registration Form

Name(Required)

Email(Required)

Username(Required)

Please let us know your desired Username. Only lower case characters(a-z) can be used.

Password(Required)

NOTE: A GOOD password strength is required. Including ten characters; at least one uppercase letter (A-Z); at least one lowercase letter (a-z); at least one number (0-9); and at least one special character (e.g. ! @ # $ % ^ & *). Your password must not contain dictionary words, names, or your username

Enter Password Confirm Password

Strength indicator

Access Code(Required)

NOTE: A Submit Button will appear below after you enter the correct Access Code. Please contact a officer for the code.

Phone

This field is for validation purposes and should be left unchanged.