Member registration
Please fill in the blanks for the following items:
If you have no affiliation, fill your home contact information in business contact information.
* shows that this item is required.
Membership year
*
Type of membership
*
Type of membership
Regular member
Student member
Individual supporting member
Corporate supporting member
Name
*
Family name and given name
*A space is required between your family name and given name.
Affiliation
Name of university, institute or organization
*
College, school or department
Position
Contact information: Business
Zip code
*
* Hyphens are acceptable.
Address
*
Phone number
*
* Hyphens are acceptable.
Fax number
* Hyphens are acceptable.
Outside Japan
Email address
*
Contact information: Home
Zip code
*
* Hyphens are acceptable.
Address
*
Phone number
*
* Hyphens are acceptable.
Fax number
* Hyphens are acceptable.
Outside Japan
Email address
※ Please input it by normal-width. （Example）info-jomsa@jomsa.jp
Mailing address
Preferred mailing address
Business
Home
