Registration

This form is for the membership registration only. If you have not made up your mind to join us, use the inquiry form. Check your email settings in advance and make sure our email with the domain [@chigasaki-iac.org] is not rejected automatically.

Name (required)

Gender (require)
MaleFemaleOther

Nationality (required)

Zip Code (required)

Your Address (required)

E-Mail Addrress (required)

Your Phone (required)

Membership Type
individual(JPY3000)Student(JPY1000)Family member of an individual member(JPY1000)

Membership Due
Paid

Payment date of the membership dues(require)

To select multiple items, hold the Ctrl key down if you are viewing on a desktop/laptop computer.
Japanese CultureJapanese Language Class on SundayJapanese Language Class on ThursdaySupporting people from overseasEducating International understanding for youthInterculturalUnderstanding the International issuesHome StayingChopsticksChinese Languages ClassNorth Macedonia Fellowship Group

We can provide a briefing session at your request. Do you apply for it?
YesNo
If yes, please tell us your 3 most suitable

How did you learn about us?
Website/Online articlesBrochureOur events/activitiesFamily/FriendsOthers
If you selected 'others' please tell us how you learned about us.

I have read and accept the privacy policy. (Make the checkbox checked before you submit the form)

Δ