International Teak Information Network

TEAKNET (International Teak Information Network)

Application for Membership/Renewal of Membership

Designation:

Institution/ Company:

Mailing Address:

Tel: Fax:

Email:

Professional Category:  Researcher  Trader  Grower  Others (Specify)………………………………

If already a member, Please provide TEAKNET Membership Number……………………………………………………

Date: Signature

Type of membership sought (Tick the one applicable):

Individual  Annual Fee US$ 30  Lifetime Fee US$ 400

Institutional/Organisation  Annual Fee US$ 250  Lifetime Fee US$ 4000

Method of membership fee payment (Tick the one applicable): q Demand Draft Enclosed demand draft for USD………………………………………………………………………………….………... (The Demand Draft may be drawn in favour of Director, Kerala Forest Research Institute payable at Thrissur, India and sent to the address given below) OR q Money Transfer Transferred USD …………… to Account No. 911010061490084 of the Director Registrar-KFRI, Peechi, Thrissur, the account at AXIS Bank Ltd., City Centre, Round West, Thrissur with Swift Code AXISINBB046. Please return this form in original to the Coordinator, TEAKNET, KFRI along with DD or money transfer details.

Dr. P.K. Thulasidas TEAKNET Coordinator, Kerala Forest Research Institute Peechi 680 653, Thrissur, Kerala, India Email: [email protected]