AACA | Representatives Register

Media representative name*:

Password*:

Confirm password*:

Address1*:

Address2:

Area*:

State*:

City*:

Pincode*:

Phone:

Mobile*:

Fax:

Fill in the details and submit the form. You will receive email to activate your account.
AACA Executive Committee reserves the right to accept or refuse membership application without providing any reason.
Use this registration form only if you are a representative of one or more Media / Publications.
Do check your "Spam" or "Junk" folder, if you can not find e-mail in your inbox.

Media Representatives Registration