Contact Directory Form for the Barony of Caerthe

Please note that this information will be used for the Printed and Online Caerthean Populace Directory.
You will be sent a confirmation email to your primary email address. This must be responded to before your information will be availible for the directory.
Login password will be your password to log into the members' section of the Caerthean Webpage. Your Login will be your primary email address.
Your Legal Name will be used to link your records in the Heraldry section of the site with your personal information.
SCA Name is either your registered SCA name, or the name you use (if unregistered) (e.g. Bjarg-Njotr Olfassa). SCA Alias is any other name you may go by (e.g. Jean-Eric).
It is not recommended to include a title (such as THL or Lady) in your name field. This will make it more difficult for people to locate your information in the populace directory.
The print directory would also like to have your most precedential title, and a line drawing copy of your device.

Required items are indicated with an *.

Name and Address Information
Login Password*:	Confirm:
SCA Name*:
SCA Alias:
Legal First Name:
Legal Middle Initial:
Legal Last Name:
Group*:	if "Other" please indicate group:
Address:
City:
State:
Zip:

Contact Type		Notes (e.g. "No calls after X" or "Prefered")
Primary Email*:	Confirm:
Secondary Email:	Confirm:
Home Phone:
Cell Phone:
Other Phone: