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Becoming a Member

Membership Application

*Mark are mandatory

Type of membership *  Corporate member 20,000 JPY per membership  
 Individual member 3,000 JPY per membership
Number of application *
Name *
Gender *  Male    Woman
Name of company/organization
(for corporate members)
(for corporate members)
Address * Postal Code

Telephone *
Fax *
e-mail *
(for individual members)
The name of the person that introduced you to the Association
Where did you hear about the Fukuoka EU Association?  From other members  
the name of the members: 
 Web site
 By participating in an event  
the name of the event: