Membership Dues for Individuals

Category	Annual Due	Country
A	USD 90 (Students: USD 45)	Australia, Hong Kong (China), Japan, Korea, Malaysia, Singapore and Taiwan (China)
B	USD 60 (Students: USD 30)	China, Egypt, Fiji, India, Iran, Nepal, Philippines, Sri Lanka, Thailand and Tonga
C	USD 30 (Students: USD 15)	Afghanistan, Bangladesh, Bhutan, Indonesia, Iraq, Pakistan and Viet Nam

In the meantime, dues 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)

Membership Application Form for AFPS Individual Member

Please complete this form below to become an individual member of AFPS.

*Starred fields are required.

1. Country Category

2. Are you a student?

[Non-Student]

[Student]

3. Check the appropriate box

[Ms.]

[Mr.]

[Dr.]

4. Family Name

5. Given Name

6. Gender

[Male]

[Female]

7. Date of Birth (YYYY/MM/DD)

8. The address listed is

[Business]

[Home]

9. Company / Institution (e.g. Dept. of Pharm. Sci., Univ. of *****)/ nonbreaking

10. Address, City, State, ZIP (e.g. 123 Medicine St., Bunkyo, Tokyo 113-0000)

11. Country

12. E-mail

13. Retype E-mail (Please enter the same E-mail address as above)

14. Phone (Country Code)

+ -

15. Phone (Local Number)

16. Fax

Please enter the code:

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Note: Please fill out the fields marked with an asterisk.