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  Application Form
*family name
*first name
middle name
maiden name
*title / position

*department

*institution / agency

*mailing address
(street, city, state/country, zip code)
*telephone

*email address.

  Note: email required for online access to journals
fax
type of membership
explanation of dues
Life membership
MOP 4400
(approx USD 550 )
Three years membership for non students
MOP 1320
(approx USD 165 )
One year membership for non students
MOP 520 (approx USD 65 )
Three years membership for students
MOP 480
(approx USD 60 )
One year membership for students
MOP 200
(approx USD 25 )
 

Note:
*Please note that you are advised to submit a scanned copy of the front of your credit card for payment purposes. Our Bank has indicated that should your payment be unsuccessful, then failure to submit a scanned copy of card will result in an additional service charge.
** Students must submit proof of your status.

annual meeting registration fee
(optional)
for non members
MOP 1320 per year (approx USD 165)
for members
MOP 720 per year (approx USD 90)
for non member students
MOP 800 per year (approx USD 100)
for member students
MOP 400 per year (approx USD 50)
Note: for applying ACS Conference, please goto http://asia2011.ntpu.edu.tw/
total
payment check / money order
telegraphic transfer
credit card :
card type
security code what is this?

expiration

Note: Visa / MasterCard: 3 security code(CVV2 / CVC2) at the back; American Express: 4 security code(4DBC / 4CSC) on the front.

*billing address
   
 
  Note: you will need a printer to print it out and sign it. Please email the scanned form along with all supporting documents (i.e. the copy of the front of your credit card and/or valid student identification) to us at asiancriminologist@gmail.com or simply fax them to (853)8397 8559.
 
 
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