|
| Identification Card Number or Passport No.
|
Choose 1 or 2 and complete the form in block capitals.
(โปรดกรอกข้อมูลให้ครบถ้วนและถูกต้องตามประเภทของสมาชิก) |
1. Individual Member (สมาชิกประเภทบุคคล) |
|
|
| |
Family Name *
|
|
|
|
School / Institute * |
|
Mailing address * |
|
Tel : |
Mobile phone *
|
E-mail * |
|
2. Institutional/Commercial Member (สมาชิกประเภทสถาบัน/บริษัท) |
|
|
Name of Institute/Company* |
|
|
|
|
|
Name of Person to contact* |
(All correspondences will be sent to the person above)
|
Mailing address * |
|
Tel : |
Mobile phone *
|
|
|
| |
|
Area of Work (Please check only one) |
Are you a member of other International Associations? |
|
) |
Subscription Rate Step1 choose Local or Overseas |
Local
|
|
|
Overseas
|
|
Special Interest Groups (SIGS) (Choose only one group)
|
|
| Method of Payment
|
|
|
|
|