KASBP - Donation

*Job Function at Work

Please select one that best describes your job function. For "Other", please describe in the below.

Other Job Function

*Major Discipline

Please select one that best describes your major discipline and describe your detailed professional expertise in the below.

*Detailed Expertise

(e.g. vaccine development, high-throughput screening, etc).

Academic Degree

Academic degree (e.g. Ph.D., M.D., M.S., etc)

Related Disease Area

Cancer

Cardiovascular

CNS

Immunology

Infectious disease

Inflammation

Metabolic disease

Rare disease

Please select all that apply or describe in the below.

Other Disease Area

I agree to transfer my membership to KSEA for complimentary KSEA Membership with KASBP as 1st APS.

Yes, I want to transfer my membership

No, I do not want to transfer my membership

I already have KSEA membership with KASBP as 1st APS.

I would like to acquire Complimentary KASBP membership through KSEA membership

I do not have KSEA membership that meets the requirement

*Amount ($USD)

Payment frequency

One-time

Monthly

Quarterly

Semi-annually

Annually

Address

City

State / province

Postal code

Country

Comment

Donation