Membership Application

Type of membership*

Corporate member 20,000 JPY per membershipIndividual member 3,000 JPY per membership

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Number of application*

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Name*

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Name of company/
organization(for corporate members)

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Role(for corporate members)

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Address* Postal Code

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Telephone*

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Fax

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e-mail*

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Occupation(for individual members)

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Where did you hear about the Fukuoka EU Association?

From other membersWeb siteBy participating in an eventOthers

the name of the members：

the name of the event：

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