JSNW Membership Application Form
Please use this form if you are interested in joining Japan Society North West as either an individual, joint, student or corporate member.

If you have problems with the form, have any questions about membership or wish to apply a different way, please contact membership@jsnw.org.uk.

On completion of the form, your response will be shared with the Membership Secretary who will be in contact.

If you have requested to pay by bank transfer, the details are:

Account Name: Japan Society North West
Sort Code: 08-92-99
Bank Account No: 65138506
Reference: MEMBER (YOURNAME)

Co-Operative Bank, PO Box 250, Delf House, Southway, Skelmersdale WN8 6WT

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Email *
Select Membership Category *
How do you prefer to pay for membership? *
Name 1 *
E-mail 1 *
Name 2
E-mail 2
Name 3
Only applicable to Company / Group memberships
E-mail 3
Company / Group Name
Address *
Telephone Number *
What are your interests?
Please tick appropriate boxes:
How did you learn of JSNW?
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Describe any special interests or skills
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As a member of Japan Society North West, we prefer to contact our members by email regarding our upcoming events. Please tick how you would like to be contacted.

You have the right to withdraw your consent to membership and membership marketing at any time by contacting us or by unsubscribing on our website, please be advised that withdrawal of your consent to membership marketing also withdraws you from membership.  
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