APPLICATION FORM FOR ADHERING BODY STATUS IN THE INTERNATIONAL UNION OF FOOD SCIENCE AND TECHNOLOGY (IUFoST) (Please print, complete and return to address at bottom)

Name of Organization: __________________________________________________________

Address: _____________________________________________________________________ City:__________________________________

State/Prov.______________________________

Country________________________

Postal Code ____________________________________

Telephone:_________________

Fax: _________________

e-mail: ______________________

Name of Contact: ______________________________________________________________

Number of Members in the organization:__________________

FEE: The fee for 2001 is dependant on the geographical location of the applicant. There is a one-time entrance fee of US$100. Please contact the Secretariat for further details. Fees can be paid by American Express or Visa . As an Adhering Body, your organization is entitled to ten subscriptions of Newsline, per voting delegate, at no charge.