Registration form Registration Form for a New IACS-NAS Membership Regd. Office: 4970 Olive Street, Unit 210 Montclair, CA 91763, USA First Name(required) MI (optional) Last Name(required) Email(required) Phone Academic Affiliation Country Birthday (YYYY-MM-DD)(required) Street Address City State/Province/Region Postal/Zip Code Country Payment Method PayPal Credit/Debit Card Bank Transfer Tier of Membership(required) Lifetime member ($1500) Student/Trainee Member ($75/year) 1-year member ($150/year) 3-year member ($400/3 years) Proceed to paymentSubmitting form Δ