Supporting member of “Kaigai Nikkeijin Kyokai”

Name of Organization / Company
Name of Representative
Department and name of Department Head
NameRequired
Name (Japanese characters)
Zip Code/PostcodeRequired	Ex:01234567
AddressRequired
TelephoneRequired	Ex:0312345678
Fax	Ex:0312345678
E-MAILRequired	Ex:foo@example.com
Please re-enter to confirmation（e-mail）Required
Please check below for those who do not wish to show your personal name or organization name on our magazines, pamphlet, etc. as a supporting member.	For those who wish their name to not be shown on any print
QuantityRequired	---1 unit　（US$100）2 units　（US$200）3 units　（US$300）4 units　（US$400）5 units　（US$500）10 units　（US$1,000）20 units　（US$2,000）
Payment MethodRequired	Credit card (One time Payment)Credit card (Yearly automatic payment)Other Type of Credit Card：VISA / MASTER / JCB / Diners Club

※ Please mail or FAX the download application form here if you can not submit the application form.
Send to:
The Association of Nikkei & Japanese Abroad
Person in charge of supporting members
2-3-1, Shinko, Naka-ku, Yokohama-shi, Kanagawa JAPAN   CEP(〒) 231-0001
Tel.:  81-45-211-1780
Fax:  81-45-211-1781
Email: info*jadesas.or.jp
Please change * to @ when you send email.