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Japan Society North West Membership Application
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Select membership category
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Individual Membership £15
Joint Membership £25
Student Membership £10
Corporate or Group Membership £50
Name 1
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Your answer
E-mail 1
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Your answer
Name 2
Your answer
E-mail 2
Your answer
Name 3
Only applicable to Company / Group memberships
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E-mail 3
Your answer
Company / Group Name
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Address
*
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Telephone Number
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Your answer
What are your interests?
Please tick appropriate boxes:
ikebana
calligraphy
tea ceremony
martial arts
films
language
history
sumo
gardens
food
literature
manga
bonsai
textiles
fine art
music
Other:
Describe any special interests or skills
Your answer
How did you learn of JSNW?
Web site
Social media (e.g. Facebook/Twitter)
Family/friend
Word of mouth
JSNW event (e.g. Japan Day)
Other:
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