CORPORATE MEMBERSHIP FORM
The Japanese Society of Canterbury
CORPORATE MEMBERSHIP APPLICATION/RENEWAL/WITHDRAWAL
(協賛会員入会申込書 / 更新書 / 退会届)

※英語(半角ローマ字)でご記入ください。(会員向けサービス内容及びメッセージを除く)

Payment Method
**********************************
Total amount to pay = Annual membership fee ($100) + Optional inclusion
(New Membership Registration Fee add $20)

To deposit the fee
   By internet banking : The Japanese Society of Canterbury
Bank of New Zealand
02-0800-0578150-00
   (Please put the name of your company as the reference.)

   By posted cheque : The Japanese Society of Canterbury
P.O. Box 8155, Riccarton, Christchurch
   (Cheque should be payable to The Japanese Society of Canterbury)
**********************************
Company Name(会社名) *
Your answer
Business Type (事業の種類) *
Your answer
Contact Person (連絡担当者) *
Your answer
Street Address(所在地) *
Your answer
Postal Address if different from above (郵便住所:上記所在地と異なる場合は、ご記入ください。)
Your answer
Phone *
Your answer
E-mail *
Your answer
URL (www…)
Your answer
Please select one :(申請項目をお選びください。) *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy