Asia Rice Lifetime Membership Application

Name:
Title:
Organization:
Nationality:
Address:
Country:
Phone:
Fax:
e-Mail Address:
Year of Birth:
Education: B.S.
M.S.
Ph.D.
Education (Others):
Type of Organization: Government
NGO
University
Private Sector
Farmer/Producer's organization
Type of Organization(Others):
Interest on Rice: Science
Economics and Trade
Public Awareness
Education
Grain Quality
Eco-tourism
Cultural Heritage
Value-added products
Nutrition
Interest on Rice(Others):
Comments:

Lifetime Membership fees: US$100

Please mail or e-mail the completed application form back to us. You can send payment of one time contribution of US$100 either by:

  1. Sending a crossed check for an amount of US$100.00, or equivalent amount in pesos, made payable to The Asia Rice Foundation, Inc.; or
  2. Issuing a bank transfer of fund to the account of The Asia Rice Foundation, Inc., in either US dollars or Philippine pesos, to ARF’s Dollar Savings Account Number 618852000248 or Peso Savings Account Number 618800009768 with China Bank Savings, Inc., 6772 Ayala Avenue, Makati City 1226, Philippines; or ARF's Dollar Savings Account Number 246460036524 at PNB Laguna-UPLB Branch, Aglibut Avenue, UPLB, Los Baños, Laguna 4031, Swift Code: PNBMPHMM. Please find below incoming remittance guide for dollar and peso accounts with China Bank Savings, Inc.

arf
College, Laguna 4031, Philippines
Tel/Fax: +63 49 536-2285
E-mail: asia_rice@searca.org
www.asiarice.org

 
MT103 (Customer Transfer)
RE: USD INWARD REMITTANCE - INTERNATIONAL
DETAILS:
 
  : 50 Ordering Customer's Account Number: (Please indicate correct ordering customer's account number,
Ordering Customer's Name: complete name/names,
Ordering Customer's Address: and complete address)
 
  : 56 Intermediary Bank: Wells Fargo Bank, N.A.
Swift ID: PNBPUS3NNYC
FED ABA/FW Routine No. 026005092
Address: NY International Branch, New York, New York
United States of America
 
  : 57 Beneficiary's Bank:

China Bank Savings, Inc.

Account with Bank: 2000191000315
Address: 6772 Ayala Avenue, Makati City 1226
Philippines
 
  : 59 Beneficiary's Account Number: 61852000248 (Dollar Account Number) OR
618800009768 (Peso Acccount Number)

(Please indicate either the dollar or peso account number, whichever is applicable)
Beneficiary's Account Name: THE ASIA RICE FOUNDATION, INC.
Beneficiary's Address: SEARCA Main Building
College, Los Baños, Laguna 4031, Philippines
Before submitting the form, please take note of the abovestated important information.