PERPAMSI : Membership Area : Web Member Registration

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Web Member Registration

Order or Renew a PERPAMSI Web Membership

How it works:

1.	Apply. You fill in the form below to apply for a Web Membership. This will take you less than a minute.
3.	Enjoy. PERPAMSI will email your username and password. You can start enjoying the benefits of your free membership until December 2004!

Web Member Registration Form

(fields with * are required)

1. Your e-mail address (e.g. agus@aol.com)*:

2. Your name*:

3. Your profession:

Water company employee
Government official
Consultant
Other

4. Your country of residence:

Indonesia
Other

5. Confirmation of acceptance of our terms and conditions*:

Yes, I accept the terms and conditions.