Membership Application
AFPS Individual Member

* Required
*Country Category Category A / Category B / Category C
*Student Yes    / No

Annual Fees

In the meantime, fees will be charged in JPY calculated at the USD/JPY TTS rate as of January 1 of the fiscal year. (For members in Japan, USD 1 is considered as JPY 100)

Class

Category

Annual Fee

Individual Member

A

USD 90 (Students: USD 45)

B

USD 60 (Students: USD 30)

C

USD 30 (Students: USD 15)

Country Categories

A (high-income)

Australia, Hong Kong (China), Japan, Korea, Malaysia, Singapore and Taiwan (China)

B (middle-income)

China, Egypt, Fiji, India, Iran, Nepal, Philippines, Sri Lanka, Thailand and Tonga

C (low-income)

Afghanistan, Bangladesh, Bhutan, Indonesia, Iraq, Pakistan and Viet Nam
*Check the appropriate box: Ms. /   Mr.  / Dr.
*Family Name:
*Given Name:
*Gender: Male  /  Female
*Date of Birth: (YYYY/MM/DD) e.g. 1970/01/10
*The address listed is: Business  /  Home
*Company/Institution:
(nonbreaking)
e.g. Dept. of Pharm. Sci., Univ. of *****
*Address, City, State, ZIP: (nonbreaking)
e.g. 123 Medicine St., Bunkyo, Tokyo 113-0000
*Country:
*Email:
*Retype Email: please enter the same E-mail address as above.
*Telephone Country Code: +
*Telephone: (e.g. 3-5400-XXXX)
Fax: (e.g. 3-5400-XXXX)