APRS Membership Application/Renewal 2011

Name of Member (or Organisation if Corporate member):



Membership Category (circle one): Corporate / Individual / Student


Postal Address (including contact person for Corporate member):





Phone:


Fax:


E-Mail:


Topics of Current Interest in Pattern Recognition:





Institution Certification of full-time enrolment (if student member):





APRS membership fees: Corporate $100, Individual $30, Student $15.


Please print this form and return with your remittance to:



Tony Adriaansen     
Phone:  +61 2 96532274          
Mobile: +61 402388270               
email:  tony.adriaansen@gmail.com         
Marab Pty Ltd, 31 Glen St, Galston, NSW 2159 




 




Note: APRS has an ABN, but  is not registered for GST, so no GST is 
payable on the above membership fees, nor will GST tax invoices be issued. 
Receipts will normally be issued by e-mail, but hardcopy receipts can be posted 
on request to the address supplied.