Template:Signup information member

This is the 'Modeler information' template. It should be called in the following format:

{{Signup information member
|First name member=
|Last name member=
|Institute member=
|Department member=
|Postal address 1 member=
|Postal address 2 member=
|City member=
|Postal code member=
|State member=
|Country member=
|Confirm email member=
|Work phone member=
|Cell phone member=
|Fax member=
|Website member=
|Working group member=
|Description of your CSDMS-related interests member=
|Creation_date=
|Coordinates=
<!--PLEASE DON'T REMOVE THE INFORMATION ABOVE-->
}}

Edit the page to see the template text.