Name

KOSCA Annual Membership Dues

Payment Method (Please do not send cash)

If you send a check or money order, please make it payable to KOSCA, write "membership" on the memo line, and mail it to Dr. Juyoung Song, Penn State University at Schuylkill, Admin Administration Bldg. Schuylkill Haven, PA 17972.

Age

Will not be shown on the website.

Nationality

Will not be shown on the website.

In the U.S. since:

Please write the year when you came to the U.S. (Will not be shown on the website).

Phone

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Email

Affiliation

Mailing Address

Position/Title Update

Please choose one that best describes your position/title

Please indicate items you do not want to appear on KOSCA website.

Division of the Cybercrime

Payment Method (Please do not send cash)

If you a check or money order, please make it payable to ________ and write the name of division on the memo line and mail to ________

To KOSCA, I would like to donate $

Payment Method (Please do not send cash)

If you send a check or money order, please make it payable to KOSCA, write "donation" on the memo line, and mail it to Dr. Juyoung Song, Penn State University at Schuylkill, Admin Administration Bldg. Schuylkill Haven, PA 17972.

If you have anything that you want to inform us, please write down below: