Application Name (English) Name (Chinese) Gender MaleFemaleOthers Title Company/Institution Preferred Mailing Address Phone: Home: Office: Mobile: Fax: E-mail URL Membership: Lifetime individual **($150)Lifetime family** ($200)Full membership ($15/year)Family membership ($20/year)Corporation* ($300/year)Student ($5/year) * Please submit your business card if you would like the card information be printed on CAPST member directory. ** Prerequisite: Full membership or family membership for two consecutive years. Family Membership: The following is filled by family membership only: Name (English) Name (Chinese) Relation SpouseSonDaughter Title Company/Institution E-mail URL Name (English) Name (Chinese) Relation SpouseSonDaughter Title Company/Institution E-mail URL Education: Bachelor's Degree Institution: Date: Field: Master's Degree Institution: Date: Field: Ph.D's Degree Institution: Date: Field: Primary responsibilities of current employment Please check no more than two. Administration/managementManufacturing/engineering designBasic/applied researchSales/marketingConsultingTeaching others (specify) Expertise in specific topical issue(s) CAPST activities Type(s) of CAPST activities in which you would like to participate, please check no more than three. Science/Technology program (specify field) CAPST publicationsTask force of special events Others (specify) Would you like to publicise your name in the Member Directory YesNo Reference(s) (New member only) Comments and suggestions(s) I've verified all information provided above
