[Flier, International AIDS Society]

IAS
INTERNATIONAL
SOCIETY

(please print or type clearly)

Application as:
Family Name: _
Title:

D
D
F
F0
0

Individual new member (according to the IAS By-laws, article 5.3 and 5.4)
Renewing membership
Subscription to AIDS Journal
First Name:

No.:

Mailing Address:

Country:
Telefax:

Telephone:
E-mail:
Professional information - one choice only
I am professionally engaged in (main field):
D biomedical research D socio-economic research

D information

Q- public health

-- clinician

[ infectious diseases

Membership fee, USD 30/year (July 1 - June 30) Student fee USD 15/ year
1 year 2 years 3 years Q 5 yearsQ annual student fee*, year(s):
* please note that application as a student (fullterm student under
the age of 35 on undergraduate and graduate level) must be
certified by the head of your department
Subscription to AIDS journal
Rates 2000:Q Within the European Union $298 (15% discount) + $4 handling = $302
Outside the European Union $298 (15% discount) + $4 handling + $36 airfreight= $338
Developing country* $175 (50% discount) + $4 handling + $36 airfreight = $215
(*according to list provided by the Publisher)
The annual (Jan-Dec) subscription comprises 18 issues of AIDS incl. postage and all sponsored supplements to AIDS.
The full subscription prices for non-members individuals in 2000 without handling fees and airfreight is $351.

Payment information
IAS member fee
AIDS Subscription fee (15% discount)
AIDS Subscription fee (50% discount)
Total sum

Total amount
USD
USD
USD
USD

Means of payment (please use credit card whenever possible)

Credit Card:

Q Euro-, Visa- Master Card

Q American Express

L Bankers' Draft

Please charge my card No.

Expiry Date

in the amount of USD

Signature
Mail or fax Application to:
IAS Secretariat
P O Box 5619, SE-114 86 Stockholm, Sweden

Please note: All payments by credit card will be charged
c/o Congrex Sweden AB in SEK at current exchange rate.

Phone: [phone]
Fax: [phone]

e-mail: [email protected]
(http://www.ias.se/)