Individual membership is available for those associated with soil and plant analysis but who do not represent an organisation. Click here to apply for membership as an individual, or print this enrolment form, fill it out and post to:
The Treasurer, ASPAC
( Address From Here )
Name (in full) Prof/Dr/Mr/Mrs/Ms__________________________________________
Address: _________________________________________________________________
_________________________________________STATE______________________
Country: ___________________________________________________________
Postcode: ____________
Email: ________________________________________________
Tel: ( ____) ___________ Fax: (____) ________________
Academic Qualifications:_________________________________________________
Present Occupation: ________________________________________
Name & Address of Employer:____________________________________________
_____________________________________________________________________
________________________________ Postcode: _____________
Position held by Applicant:________________________________________________
Nature of Work:________________________________________________________
_____________________________________________________________________
NOMINATED________________________________________________________
REFEREES (Applicants are required to provide names and addresses of two professional referees)
1.___________________________________________________________________
2.___________________________________________________________________
I agree to abide by the Rules and uphold the Objectives of ASPAC.
Signature:_____________________________Date:_______________________
Fee of $ ________________ is enclosed.
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FOR OFFICE USE ONLY: Application Acceptance:
Chairperson:_______________________________Date:______________
Secretary/Treasurer: ________________________________Date:____________
State/Regional Representative:________________________Date: ____________