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郵便振替用紙発送依頼/ Request for "Postal Transfer Form"
学会費支払用の郵便振替用紙の郵送を希望する会員は、以下の項目を入力して送信してください。
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Email
*
Your email
1. 振替用紙の郵送を希望/ Would you like to request to send "Postal Transfer Form"?
*
はい/ Yes, please.
いいえ/ No, thanks.
2. 会員番号/ ID（6-digit number）
*
Your answer
3. 名前 / Name
*
Your answer
4. 送付先/ Send to
*
ご自宅/ Home Address
所属機関/ Institution Address
Other:
5. アンケート/ Questionnaire
郵便振替用紙の郵送を希望する理由をお聞かせください（以下のラジオボタンから選ぶ）
We'd like to hear you why do you want to send it. (Select from the following buttons)
選択肢/ Choices
*
クレジットカードを持っていない/ I don't have credit cards.
ネットバンキングを使っていない/ I don't use Internet banking.
インターネットを使用していない/ I don't use Internet.
所属先の経費精算で必要なため/ Because it is necessary for expenses of my institution.
ゆうちょの振込用紙での支払いに慣れているから/ I'm used to paying by Japan Post transfer form.
Other:
6. 特記事項/ Remarks
Your answer
A copy of your responses will be emailed to the address you provided.
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