INMP Membership Application Form

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INSTRUCTIONS: To become an INDIVIDUAL or INSTITUTIONAL Member of INMP, please complete this form. For details, see https://home.inmp.net/membership To pay your membership fee, [INSTITUTIONAL: ¥12,500 or INDIVIDUAL=¥2,500] please go to: https://bit.ly/PayINMP

Email *

Your Name [Surname, Given Name]: *

Your Organization or Institution:
[If you are not affiliated with an institution or organization, please write "None," "Retired, "Independent," etc. ] *

Your Title or Role.
[For example, artist, educator, volunteer, researcher, journalist/writer, museum director or curator, photographer, etc.] *

This is an application for: (CHOOSE ONE) *

an INDIVIDUAL MEMBERSHIP in INMP.

an INSTITUTIONAL MEMBERSHIP in INMP.

Have you or your institution been an INMP Member in previous year(s)? [Choose one] *

This is a new membership in INMP (I / we have not been an INMP Member previously.)

I or my organization/institution was an INMP member in the past.

This application is to CHANGE from an Individual Member TO an institutional member.

This application is to CHANGE from an institutional Member TO an Individual member.

I am a current INMP Institutional or individual member, but I am not receiving any communications from INMP.

INSTITUTIONAL APPLICANTS ONLY: Please list Names and email address of up to 4 employees or other members of your organization to have multi-user privileges as an INMP Institutional Member.

Mailing / Postal Address: (please include street address, city, state or province, and COUNTRY.) *

Phone number [including Country Code, Area Code, and phone number] *