Membership Application

Please fill-in the form below.

Membership Type :
Country * :

Name * :
Email * :
Mobile :
Tel :

Country code (ie. UK is +44) - area code - local number
Fax :
Address :
 
Zip Code :
Website :
Playback Group :

Playback group you belong to (if any)

To enhance contact in between IPTN members, you may like to offer accommodation to other members if they should come and visit your country.
Accommodation :

Please untick the following contact information if you do not wish to list on our website.
Email :
Mobile :
Tel :
Fax :
Address :
Website :

Please select payment method.
Payment * :

If you choose Paypal / Credit Card payment, please read the following:
After you complete Paypal / Credit Card payment, Paypal will provide a transaction ID. Please come back and fill it in the following field.
click here and pay now.
Transaction ID :

For Paypal / Credit Card payment only