Registration by Credit Card

REGISTER HERE WITH VISA, MASTER, AMEX, DISCOVER CARD

Name(Required)

First Last

Phone(Required)

Email(Required)

Business Name or Organization

Business or Organization Website

How Did You Hear About Us(Required)

ASIAINA Members

Family & Friends

Local Events

Social Media or Website

Community Partner or Collaborator(Required)

Small Business

Community/Group Affiliation

Non-Profit or Brand/Affiliate

N/A

Annual Membership Only

Price: $75.00

This is for 1-year new or renewal annual ASIAINA membership fee plus a free autographed book.

Donation or Sponsorship

Total

Credit Card / Expiry

Cardholder Name

Billing Address

Street Address City State ZIP Code

for RSVP other payment option Click Here.