NETWORKING FOR STRONGER PORT INDUSTRY AND BETTER COMMUNITY

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APPLICATION FORM FOR REGULAR MEMBERSHIP

Please fill in this form in capital letters, all information on this form will only be used for the purpose of APSN.

Corporate membership dues is USD$500 per year and individual membership dues is USD$100 per year.

ORGANIZATION INFORMATION

Name

Member Economy

Website

Postal Address

LEGAL REPRESENTATIVE

Title

Name(FN, MN, LN)

Position

Tel

Fax

E-mail

CONTACT PERSON

Title

Name(FN, MN, LN)

Position

Division / Office

Tel

Mobile(If available)

E-mail

Fax

GENERAL QUESTIONS

How do you know us

You’d like to share the above information with

ORGANIZATION PROFILE

Including but not limited to the scale, major business area, major achievements, future development objectives, etc.

We hereby apply for regular membership of APEC Port Services Network (APSN) and agree to abide by its rules and regulations.

We declare that the statements made in this application are true and correct to the best of our knowledge and belief.

Signature:
Date (DD/MM/YYYY):

REGISTER

Email (This email will serve as a login account)

Enter Password

Confirm Password

CONFIRM
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