Prototype – fictitious dataBranded in AUTAL’s colours exclusively for the presentation to AUTAL. Confidential – do not distribute. Do not enter any personal information.

Confidentiality notice

This prototype is branded in AUTAL’s colours exclusively for the presentation to AUTAL. Confidential – do not distribute. Fictitious data.

It belongs to Adssys: do not share it or distribute screenshots without permission. Do not enter any real personal information.

AUTALLongueuil paratransit users’ association
Français

Sophie TremblayCoordinator · Administrator

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New member

AUTAL membership is free. Fill in the record with the person, at their own pace.

There are 4 errors in this form

Prototype note: only fields marked “required” are mandatory: ask only for what is needed (Law 25, data minimization).

Identity
Enter the last name.
Date of birthOptional. For example: 27 3 1958
Contact information
Area served by the RTL.
Enter a valid postal code, for example J4H 1A1.
For example: 450 555-0123
Enter a valid email address, for example [email protected].
Optional. For example: Paul Lavoie (son)
Communication preferences
Preferred language
Preferred communication channel (required)Used for mailings and to keep the member informed about their complaints.Choose the preferred communication channel.
Preferred document formatsSelect all that apply.
Accessibility needs
Transport and activity needsSelect all that apply. Sensitive information: only staff can see it.
For example: needs extra time to board the vehicle.
Consents (Québec Law 25)

Explain each consent to the member. It can be withdrawn at any time.

Required for AUTAL to file a complaint on their behalf.
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