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Membership application form

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    • Member Type *Required
      Individual memberCorporate member(single contracts)Corporate member (multiple contracts) Please indicate number of contracts :
    • Name *Required
    • Company name
    • Category of business
    • Employee number
    • Section
    • Position
    • Postal code*Required
      -
    • Address
    • TEL
    • FAX
    • Email *Required
    • Website
    • Membership fees*Required


      Student:1,200 yenIndividual:3,600 yenCorporate:12,000 yen

      Please indicate name of the University/ Institute

    • Objectives
    • Do you want halal certification?
      YesNo
    • Do you want Business Matching
      YesNo
    • Type the characters in the picture below
      captcha


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    06-4703-5966