Membership Application Form

Name @Ex) Jane Doe * Please put a space between the first name and the family name.
Email @Ex) xxx@xxx.com
(Repeat)  * An automatic response will be sent back.
Membership Regular Member   Supporting Member
@ * A Regular Member is required to pay initial fee 10,000 JPY and annual fee 12,000 JPY every year, while he/she reserves voting right.
   A Supporting Member is required to pay initial fee 1,000 JPY and annual fee 12,000 JPY every year, while he/she dose not reserve voting right.
Affiliation
Ex)
(The case of University)   *** Laboratory, Department of ***, Graduate School of ****, University of ***
(The case of Private Sector)   Division of ***, *** Co. Ltd.
(The case of Private Individual)   Private Individual
Address
Ex)
*** Apartment #111,
1000 *** Street,
****, AA 10000, Country

* The address can be possible either affiliation or home.
* In the case of private individual, please write the address to be correct with its apartment name and room number, if any.
Note
* If you have anything to be noticed to us, please write here. If you do not have, nothing necessary.

Policy for Dealing with Personal Information