Membership Application for General Member

International Research Institute (IRI)

Membership Application for General Member

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 General member in order to join the activities .
（Please check or General）

　　　　　　　　　

Initial Fee
2,000 yen

Year 2002 (2002/April/1~2003/March/31)
2,000 yen× unit＝ ,000 yen

Total
,000 yen

Transfer ：Mizuho Bank, Ltd., Inage Branch, "IRI "　
　　　　 Account Number: 2525925