Associate Member Subscription

Please enter information on the form below to process subscription for Associate Member. The price you have to pay is $950.00.

Account Information

Username*

Password *

Retype Password *

Title (Mr / Mrs ) *

First Name *

Family Name *

Date of Birth

Sex

Male

Female

Job Title *

Department *

Firm Name

Business Address *

PO Box Number

City / Town

Post Code / Zip Code *

Work email *

Country

County / State / Province

Telephone Number（including country code）

Fax Number （including country code）

Home address（if different from above）

Personal email

City / Town

County / State / Province

Post Code / Zip Code

Preferred mailing address

Work

Home

Preferred email address

Work

Home

If you selected "other," please specify:

Payment Information

Price

Payment Method *

Paypal
Bank transfer

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Bank ABA Routing Number*

Bank Account Number*

Bank Account Type*

Bank Name*

Account Holder Name*

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Associate Member Subscription

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