MEMBERSHIP APPLICATION


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

Regular Member (for Japanese organizations, $1,850 / year)

Regular Member

(for Japanese organizations, $1,850 / year)

Associate Member (for American organizations, $1,050 / year)

Associate Member

(for American organizations, $1,850 / year)

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)