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Published byTaruna Ray Modified over 6 years ago
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Taiwan Anti-Aging Association Membership Application Form
Taiwan Academy of Anti-Aging Tel: Fax: Taiwan Anti-Aging Association Membership Application Form No____________ Name Sex □ Male □ Female Birth day / / (day/month/ year) Tel Fax Cell Phone Address Address Education Experience Present Occupation Present Title Applicant Sign: ________________ Date: (day/month/ year) Fee (USD) Application Fee 70 USD Yearly Fee 40 USD 1 Wire the fee to the following account Bank: Taishin International Bank, Taiwan (Swift Code: TSIBTWTT ) Account No: Account Name: The Taiwan Academy of Anti-Aging Medicine 2 Fax the receipt or invoice to T3A.
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