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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