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THE INTERNATIONAL ASSOCIATION OF

MARITIME ECONOMISTS
Please complete and fax to
Dr Sophia Everett
Fax No: 61 3 9810 3149

MEMBERSHIP APPLICATION FORM

Surname: Name: Middle initial:

Company:

Address for correspondence:

Home address (if different from above):

Phone: Fax:
Email: Internet:

Academic qualifications: □ B.A./B.Sc. □ M.A./M.Sc. □ Ph.D.


(check all that apply) □ Diploma □ Other (please state) □ Professor

Position and Title:

Field of expertise and current main interests:

Current research interests:

Selected Publications:

For students only: Degree of studies: Duration:

Subject of study: Institution:

How did you hear about IAME?

Membership class: Individual ‰ Corporate ‰ Student ‰ Retired or Emeritus ‰

Date: Signature:
THE INTERNATIONAL ASSOCIATION OF
MARITIME ECONOMISTS

MEMBERSHIP DUES

Individual □ US$140
Student/Retired □ US$100
Corporate □ US$400

Payment: □ Bank cheque/bank draft □ Credit card: □ VISA


□ MasterCard

Credit Card:

Amount:----------------------------------------------------------------------------------------------------------------------------

Card number:----------------------------------------------------------------------------------------------------------------------

Expiry date ------------------------------------------------------------------------------------------------------------------------

Name of cardholder:--------------------------------------------------------------------------------------------------------------

Billing address:--------------------------------------------------------------------------------------------------------------------
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Date:-------------------------------------------------- Signature:-------------------------------------------------------

IAME Permanent Secretariat


The Australian Centre for Integrated Freight Systems Management
The University of Melbourne
Tel: 61 3 9810 3187, Fax: 61 3 9810 3149, Email: secretary@iame.info

* Note: Membership fees listed can be paid by MasterCard, Visa or by bank drafts or cheques in US dollars payable to the
International Association of Maritime Economists.

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