Please complete the information below: (Fields with a * are required) 填写人注意( 有 * 号的项目必须填写)
Salutation (称谓):
Last name (姓)*:
First name (名)*:
Chinese name (中文姓名):
Middle name (字):
Gender (性別): M F
Alternative name (其他姓名)(e.g. Maiden 娘家姓) : Nick name (昵称):
Work Phone (办公电话)*: Other Phone (其他电话):
Street Address (住家住址)*:
City (市)*:
State/Province (州/省)*:
Zip code (邮政编码)*: Country (国家)*:
Email address (电子邮箱)*:
Another Email address (其他电子邮箱): Affiliation (机构):
Position (职位):
Specialty (其他):
Web page (网站):
Another Web page (其他网站): Membership type (种类)*: Regular 1-Year SICET Membership 一般会员(USD$30 or 人民币 RMB￥200 for the members in mainland China only)
Student 学生会员 (USD$15 or 人民币 RMB￥100 for members in mainland China only)
Regular 2-Year SICET Membership 一般会员(USD$50 or 人民币 RMB￥350 for the members in mainland China only)
Regular 3-Year SICET Membership 一般会员(USD$70 or 人民币 RMB￥500 for the members in mainland China only)
Join AECT with 50% membership fee discount:
Yes No
