MEMBERSHIP APPLICATION FORM
ASIA PACIFIC NUTRIGENOMICS &
A member of APNNO will be eligible to receive
(i) the APNNO newsletter free of charge
(ii) a substantial discount on registration for the biennial APNNO conference that will be twice as great as the annual membership fee.
Please fill in the registration form below and send this application form by email to Paul Cavuoto (email@example.com) and Harry Freitag (firstname.lastname@example.org).
Title : Prof. / Dr. / M.Sc / B.Sc/Mr/Ms
Status : Lecturer / Researcher / Lab Techinician / Student / Other.. (please mention)
Mailing address :
Visiting address :
Work Phone :
Mobile Phone :
The membership fees are as follows:
Standard membership: US$50
Student membership fee: US$25
The preferred option is to pay online to the APNNO account by direct electronic transfer of funds using the following account identification details :
Name of Account Owners: Asia Pacific Nutrigenomics and Nutrigenetics Organisation
Bank name: Commonwealth Bank of Australia
Bank Branch Address: 96, King William Street, Adelaide, SA, Post Code 5000, Australia
Account Number: 1205 8120
BSB-Number: 065 000
SWIFT Code (also known as BIC): CTBAAU2S
IBAN number: Not required in Australia
If you prefer to send us the membership fee by cheque please use the following options:
Cheque worth US$50 issued by a USA bank
Cheque in local currency equivalent to US$50 issued by local bank
Please kindly make the cheque payable to Asia Pacific Nutrigenomics and Nutrigenetics Organisation together with the above application form to the
APNNO treasurer at this address:
Dr Varinderpal Dhillon
CSIRO Food and Nutrition
PO Box 10041 Adelaide BC, SA 5000,
An email confirming that we received your membership form and fee will be sent to you within 7 days of receiving your membership fee.
Note: If required you can change your membership data by sending us the the updated information by e-mail.