AVAR (Association of anti Virus Asia Researchers) Membership Application Form
Please fill out this form, PRINT and FAX to AVAR Administration office at +81-54-283-5328

AVAR MEMBERSHIP APPLICATION
I / We would like to apply for membership of AVAR.
I / We agree to abide by the AVAR constitution and the code of conduct.

AVAR MEMBERSHIP: please put the number of membership in the box.
AVAR Membership (individual):JP 13,000 Yen per year/person
Benefits:
- Voting right at AVAR annual meeting.
- Subscription to AVAR members' (Professional) mailing list.
- Advanced notice and Discount on AVAR conference and seminar.
AVAR Membership (Corporate):JP 60,000 Yen per year/company
Benefits: same as above. Up to 6 members can register per company.
PERSONAL INFORMATION
Name(First/Last) Mr./Ms.
Title
Organization
Address
TEL FAX
Email
URL
PAYMENT INFORMATION
VISA/
Mastercard


Amex		 Card Number Expiry date
Cardholder Name
Billing Address same as above / use the box below only if it's different

TEL

Please contact AVAR Administration office if you have any questions.
AVAR : c/o JCSR 1-1 Midorigaoka-cho, Shizuoka-shi, Shizuoka 422-8052 Japan
TEL: +81-54-283-5327 FAX: +81-54-283-5328 Email: ikoji@jcsa.or.jp

Back to Home