AAWM Membership Application
(Please Print and fill the Application)
| Name: …………………………………………... Surname:………………………………………... Date of Birth: …………………………………... Nationality: ……………………………………. Profession: …………………………….............. Fields of Interest: ……………………………… ………………………………………………….. Address: ………………………………………... …………………………………………………… …………………………………………………… Tel.: ……………………………………………... Fax: ……………………………………………... Mobile:………………………………………….. E-mail: ………………………………………….. Home Page:……………………………………...
Date: ……………………..
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Please
AAWM
Administration
P.O. Box 941996
Schmeisani 11149
Amman Jordan