Registration

Registration-and-payment

Title

Name

First Name

Last Name

Position

Institution/Organisation

Research interests

Website/URL

Membership Type

Foundation Institutional Membership (AU$1500)

Foundation Individual Membership – 3 years (AU$250)

Individual Professional Membership – 1 year (AU$40)

Individual Student Membership – 1 year (AU$20)

Individual Professional Membership – 3 years (AU$100)

Individual Student Membership – 3 years (AU$50)

Registration Date

Membership Fee

Address

City

State/Province

Zip/Postal

Country

Credit Card

Total (in AUD)

Start

Period 1 year

Period 3 years

Period 1000 years

Period total years

Expiry year

Expiry full date

Invoice Date

Invoice Number

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Australian and New Zealand Association of Econometricians (ANZAE)