MEMBERSHIP APPLICATION


Please select the type of membership your organization is interested in:*

PLEASE NOTE:

  1. Annual membership dues are for April to March of the following year. Dues are subject to change and are non-refundable.
  2. Membership renews automatically every April so services are not disrupted.
  3. It is the member's responsibility to notify us immediately if the Contact Person changes/leaves.
  4. It is the member's responsibility to make payment for any outstanding dues. Failure to make payment by the due date can result in termination of membership. 
  5. Resignation must be tendered in writing and given at the desired time of cancellation. Please note all outstanding balances must be fully settled before the resignation process.
  6. Upon approval of application, you will be asked to submit dues via ACH or check. Please note there will be a 3% administrative charge for all card transactions. Once dues are received, membership will commence.

Company Information:

Company Name*

Company Name（日本語）

Address*

Address (Line 2)

City*

State*

Zip*

Company Phone*

Company Email

Company Fax

Website

Officers* (Max 2000 characters)

Type of Industry*

Type of Business*

Products and Services*

Established Year

Number of Employees (Parent Company or Japan

Staff from Japan in America

Staff locally hired in America

Staff from Japan in NY Area

Staff locally hired in NY Area

Company Profile* (Max 2000 characters)