To be a friend of AsiaRice, please fill in the blanks as completely as possible. It is very important that we have your correct name, e-mail address, telephone number and fax number. Your Name: * Your Title: E-Mail: * Company: Address: City: State Postal code Country: Phone: Fax: Age? <= 30 yrs 31-45 yrs. 46-60 yrs. over 60 yrs. Education? B.S. M.S. Ph.D. Others Profession: Type of organization? Government University Private Sector NGO Others Interest on rice? Science Education Cultural Heritage Economic and Trade Grain Quality By-products Public Awareness Eco-tourism Others Specific areas that you can help Asia Rice? Provide scientific information on rice on following areas: Answer rice queries on following areas: Provide rice information and help review the AsiaRice Web Site on the following specific section(s): Provide information on rice articles published in your city/country: Help solicit funds Review grant proposal on the following areas: Others: Comments:
