Individual Application Form – JBAA Official Website

個人会員入会申込書

Individual Membership Application

氏名 *

名前を漢字でご記入下さい。

Name

First

Middle

Last

お名前をアルファベット表記でご記入下さい。

住所 Address *

Address Line 1

Address Line 2

City

State

Zip Code

電話 Phone *

Email *

ファックス Fax

紹介 JBAA 会員1人目

紹介 JBAA 会員2人目

JBAA の活動理念目的に賛同の上 JBAA 会則を遵守し会員の義務負担を甘受します。

I have been given the JBAA Mission Statement and agree to the contents thereto. I further agree to comply with the JBAA Rules and agree to fulfill all duties and obligations required as a member of the JBAA.

b) 個人会員年会費 US$100.00 は入会時の残余期間の如何に拘わらず全額一括納入し退会の際には理由の如何に拘わらず会費の返済要求を一切致しません。

In consideration for membership in the JBAA, I agree to pay an annual membership fee of $100. In the event of my membership in the JBAA is terminated voluntarily or involuntarily, I agree not seek reimbursement in whole of in part of any membership fee paid.

c) 会員として不適当と理事会が全員一致で結論に達した場合には理事会の決議時点を以って自動的に退会の処遇を受けます。

I understand that the JBAA Board of Directors (the “Board”) has the right to terminate my membership upon a unanimous vote. I hereby waive any right to contest or appeal any determination made by the Board to terminate my membership.

申し込み日 Applied Date *

JBAAへの参加目的を教えて下さい。Please tell us the purpose of your participation. *

氏名 Name *

JBAAの主旨に賛同し、入会致したく申し込みます。
We hereby apply for membership in JBAA and agree to abide by the Rules and Regulations of JBAA.

こちらにフルネームをご記入頂く事で署名とさせて頂きます。
Please add your first/last name here, if you agree to Rules and Regulations of JBAA.

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個人会員 入会申込書Individual Membership Application

個人会員入会申込書

Individual Membership Application