Publication
Group of Publications (Corporate) 
Associate (Individual or Corporate)

Note: Each application must be accompanied by check covering dues.

Publication 

Name
 
Last Name

Address

City and Country
 
Zip Code
 
Phone Number

Fax Number

Email


Web:


Circulation:

Audited by:

Type of Publication
 
When Founded

Number of publications (if corporate)
 
Main representative in IAPA

Please list separately other persons or publications who should receive IAPA mail  

We pledge ourselves to comply with the charter and by-laws of the Association.

Associate 
Name:

Last Name:
 
Organization:

Address:
 
Type of business


We pledge ourselves to comply with the charter and by-laws of the Association.