APNA MEMBERSHIP APPLICATION FORM

Thank you for your interest in APNA. As a member you can support APNA by taking part in any of our on-going activities/projects, or may decide to become a member simply to confirm your solidarity with our mission and receive our newsletters. Please note that it is not mandatory for APNA members to make financial contributions. We will, of course, greatly appreciate your financial support.

Tell us how to get in touch with you:
Name
Address
Country	(If not listed please specify in your address)
Email
Phone
Fax
Please provide a brief Introduction of yourself:

Would you like to sponsor APNA and make annual or monthly financial contributions? (If your answer is YES, we will contact you by e-mail for further details)
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Security Code:

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