CPGIS Membership On-line Registration

The Association of Chinese Professionals in GIS (Abroad)

Individual Membership Application/Renewal Form

Ms. Mr. (First Name, Last Name)

        Business/School Name : 
                  Your Title :  
Your Latest Education Degree :  
          Year of Graduation :
Areas of Interest/Major:

1. 2.

3. 4.

Mailing Address and Telephone Number:

 Address :  
            
    City :  State:  Zip Code: 
 Country :    
Business :  
     Fax :  
    Home :
Email Address:
Please check the proper one:
New Membership Renewal Membership

Information on Verification of Full-Time Student Status:

       Name of Faculty Member : 
                       School : 
Faculty Member's Phone Number :
Annual Membership Fee Due:

Non-student: US$10 Full-time Student:US$5

I have enclosed the check for my membership fee under seperate cover and want to get free subscription to GIS magnize and journal.

I do not want to release my mail address (optional).

To submit application, press this button: Date:

Reset Option:

Please make check payable to CPGIS and send it to:

Mr. Xiaoming Zheng
Dept. of Environmental Science, Policy, and Management
151 Milgard Hall
University of California at Berkeley
Berkeley, CA 94720-3114
U. S. A.