Contact & Application Form

Please fill in this form to apply for membership or if you wish to contact our Association. Please click on “confirm” once you have finished entering your details.

「※」 Items marked with this symbol are mandatory, so please be sure to enter the necessary details.

※ Private information submitted will be managed by our Association and used exclusively with the purpose of conducting business between both parties.

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Membership Category ※	Individual Group Corporate
Full Name ※
Full Name in Katakana or Furigana ※
Gender	Male Female
Date of Birth	（E.g.）1999-3-31
Occupation
Name of the organization	（for corporate bodies only）
Name of the representative （person in charge）	In the case of corporate applicants, please provide the job title of the representative/s.
Nationality ※
ZIP ※
Postal Address ※	Please include the name of the building.
Phone number ※
FAX number
Mobile phone number
Email address ※
Preferred payment method ※	Cash（At our offices / Direct bank deposit/registered postal payment） automatic bank transfer（※）
How did you hear about us?	Web Page Bulletin / Pamphlet Event Through a friend Other If you selected “Other,” kindly enter details above.
Your message / enquiry