Application for Membership to the AIDS Society of Asia and the Pacific

Name of Organisation :
Address of Organisation:
Chair or Honorary Head :
Chair contact details
Chair Tel
Chair E-mail
Contact Person details :
Contact Tel
Contact E-mail
Nature of your organisation's work as it relates to HIV/AIDS:
Is your organisation a member of other peak or national HIV/AIDS bodies within the region? If so, please indicate which and your reasons for also choosing to join ASAP.
The Executive Committee will review the membership application and advise the organisation of its decision. Organisations becoming new members will be advised of account details and invited to electronically transfer their fee to facilitate payment.