March 11, 2010 / 2:07 pm
Jakarta, Indonesia
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APAPC
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REGISTRATION FORM
The annual registration subscription is:
Registration for Membership dues are - AUS$ 195 (US$ 150)
Registration for Members of IAPC, AAPC, EAPC & ALACOP - AUS$ 130 (US$ 100)
I confirm my understanding and acceptance of the APAPC
CODE OF ETHICS
CONTACT DETAILS
Name of Contact Person:
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Title :
Company Name :
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Business Activity :
(select one only)
Advertising
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Lobbyist
Media
Political Consultant
Research
Other
Street Address :
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City :
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Country :
Postal Code :
Telephone :
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)
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Facsimile :
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Email :
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Web Site :
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PAYMENT DETAILS
Please charge my credit card AUS$
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Note:
Credit cards will be charged in Australian Dollars.
Card Number :
CVV Number :
Name as it appears on Card :
Signature :
Expiry date :
OR
Enclosed is a cheque/money order for AUS$
payable to
The Asia Pacific Association of Political Consultants
YES
, I agree to the submission of the above information and application by pressing
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