*  : must fill in all spaces with red asterisk.

* Name :*
* School Name :
* Department :
* Address :
* E-mail Address :
* Telephone & Mobile Phone No.:
* What subjects are you currently    teaching?
* Please select your qualification.	* General Membership ~Must be a full-time professor at a recognized 2, 3, or 4 year university.	* Executive Membershiip ~Must meet requirements of General Membership AND have adopted  at least 1000 Cambridge ELT titles or 100 Cambridge resource books (single adoption) in the past year or upcoming 6 months.
* Please state adopted titles or   areas of interest.(i.e., Coursebooks /   Professional English and Language   Teaching Books)