Register - FHU PREMA

This form allow to register on FHU PREMA’s website.

This registration allow, after admin validation, to access our member area and to receive our newsletter and specific informations dedicated to our members.

Admin validation will be granted after checking your profil with your administration or your employer. You will be notified by email of validation’s result.

If you only want to subscribe to our newsletter (public access), please use our form on home page

Identification

Username ( required )
E-mail ( required )	Your email will be use to log in the site.
Confirm your email	Enter your email address again

Sécurité

Password

Confirm Password

Information personnelles

First Name (required)
Last Name (required)
Mobile Phone Number	Enter your mobile phone number Format : +33123456789 or 0123456789
Function (required)
Worksite (required)
Responsable (required)	Enter chief's service name
Facebook profile URL
X username (without @)
Instagram profile URL
LinkedIn profile URL
MySpace profile URL
Pinterest profile URL
SoundCloud profile URL
Tumblr profile URL
Wikipedia page about you (if one exists)
YouTube profile URL

By subscribing to FHU PREMA's website, you accept to receive FHU PREMA's newsletter and others informations specific to your position.
You also accept FHU PREMA's data confidentiality politic.