【For Corporate Members】 Specified non-profit organization Miyako Itchu Institute of Music and Culture Membership Application Form

Corporate Member Application Form
【For Corporate Members】
Specified non-profit organization
Miyako Itchu Institute of Music and Culture
Membership Application Form

※Name

姓
名

※Company Name

※Job Title

※Address

〒 - 住所検索

都道府県

市区町村番地

マンション/ビル名

※Phone Number

- -

※Email Address

確認のためもう一度入力してください。

Please re-enter your email address for confirmation.

※Number of Shares (Corporate membership is ¥50000 per share)

Example: 2

Referrer (Optional)

If referred by someone, please mention their name.
Inquiries/Contact Notes

Inquiries/Contact Notes

Privacy Policy: Your personal information will be used solely by the Miyako Itchu Institute of Music and Culture for communication purposes and will not be shared with third parties

上記の入力内容を確認して「確認画面へ」ボタンを押してください