Asian South Pacific Association
of Sport Psychology
MEMBERSHIP APPLICATION FORM
Individual Membership
(Please type or write in block letters)
Name: _____________________________________________ Title: __________
Mail Address: ________________________________________________________
____________________________________________________________________
Place of Work or Affiliation: _____________________________________________
Telephone: __________________________ Fax: __________________________
E-mail Address: _______________________________________________________
Country: ____________________________ Country Category: _______________
Annual Subscription: US$: _______________________________________________
Student’s Annual Subscription: US$: _______________________________________
You can join for more than one year (tick relevant box)
For 1 year [ ] 2 years [ ] 3 years [ ] 4 years [ ]
Total payment: US$ x year(s) = US$ ______________________________________
For further information, please contact Dr. Gangyan Si at membership@aspasp.org