HTAA Member Registration Form

Please fill out your true information. Fields with * are required.

* Account:
* Password:
* Repeat Password:
* First Name:
* Last Name:
* Chinese Name:
* Major in Tsinghua:
* Enrolled Year:
* Email Address:
Do you want to release your detailed information to other HTAA members?  Yes    No
Age:
Gender:  Male    female
Work Phone:
Home Phone:
Cell Phone:
Fax:
Company
Home address:
City:
State:   Zip:  
Country:
What's your highest degree?  Doctor's    Master's    Bachelor's    Other
Where did you get your highest degree?
Survey: How did you find my web address?
Enable Account?:  Yes    No