Application Form (Supporting Member/Group)
International Research Institute (IRI)
Dear Board Chairman Date:
Name
Address of your home
Telephone
Facsimile
E-mail
attach your name card or write down below
Name of work place
Managerial position
Address of your work place
Telephone
Fax
E-mail
Contact destination: Home or Work place
I accept your prospectus
and apply for admission
as a Supporting Member
(group) in order to join the activities .
| Initial Fee |
5,000 yen
|
| Year 2002 (2002/April/1~2003/March/31) |
10,000 yen× unit＝
,000 yen
|
|
|
,000 yen
|
Transfer ：Mizuho
Bank, Ltd., Inage Branch, "IRI "
Account
Number: 2525925