Last updated:2018/2/20

Membership Application(Student)

 
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Item
Input
Membership category
Personal Information
Name (First/Middle) *
Name (Last/Sur) *
Gender
Date of Birth *
(yyyy/mm/dd)
Specialized Fields *
Incentive for membership *       
Name of introducer  
Contact Infomation
HomeAddress  
Street *
City *
State/Province
Zip/Postal Code *
Country *
E-mail *  
Phone
Fax
Student Profile
Name of School *
Program/Corse
Expected Year and month of graduation *(yyyy/mm)
Membership Options /Payment Infomation
Annual dues  4,800(JPY)
IPSJ Magazin
(in Japanese)
 free
IPSJ Journal (optional)
 
SIGs of IPSJ (optional)
1,200-5,700(JPY)/a SIG (One no charge)
Payment Method
Message