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Individual Membership Application Form
Questions marked with an asterisk (*) must be answered.
For enquiries, please feel free to contact us at
appercussionsociety@gmail.com
at any time.
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* Indicates required question
1. Membership Category
*
Choose
Professional Members
Ordinary Members
Associate Members
2. Salutation
*
Choose
Mr.
Ms.
Mrs.
3. Family Name
*
Your answer
4. Given Name
*
Your answer
5. Country of Residence
*
Your answer
6. Email Address
*
Your answer
7. Telephone Number
Your answer
8. Correspondence Address
Your answer
9. Gender
*
Choose
Male
Female
Prefer not to say
10. Age
*
Choose
Under 15
15 to 29
30 to 39
40 to 49
Above 50
11. Additional Information
Please let us know more about your academic, artistic and professional background.
Your answer
12. Opt outs
*
Membership directory
Newsletters and other publications
Direct marketing
13. Declaration
*
I have read the Personal Information Collection and Privacy Policy Statement.
I agree
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