INMP Membership Application Form
INSTRUCTIONS: To become an INDIVIDUAL or INSTITUTIONAL Member of INMP, please complete this form. For details, see To pay your membership fee, [INSTITUTIONAL: ¥12,500 or INDIVIDUAL=¥2,500] please go to:
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Email *
Your Name [Surname, Given Name]:  *
Your Organization or Institution: 
[If you are not affiliated with an institution or organization, please write "None," "Retired, "Independent," etc. ] 
Your Title or Role. 
[For example, artist, educator, volunteer, researcher, journalist/writer, museum director or curator, photographer, etc.]
This is an application for: (CHOOSE ONE) *
Have you or your institution been an INMP Member in previous year(s)? [Choose one] *
INSTITUTIONAL APPLICANTS ONLY: Please list Names and email address of up to 4 employees or other members of your organization to have multi-user privileges as an INMP Institutional Member.  
Mailing / Postal Address: (please include street address, city, state or province, and COUNTRY.)  *
Phone number  [including Country Code, Area Code, and phone number]  *
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