Application form

Please enter the following items and press the "Confirmation" button for a final review.
Items marked with an asterisk (*) are indispensable.

Membership type
Company name*
Postal address*
Main contact name*
Title / Department
Telephone*
Email*
User ID*

At least 8 alphanumeric characters
Password*

At least 8 alphanumeric characters

Password (Confirmation)*

At least 8 alphanumeric characters

If you have a separate accountant (to whom dues invoices should be sent) from the primary contact person, please enter the following.

Accountant

Name

Email

If you wish to register other contact persons, please enter them below. (Up to 3)

Other contact-1

Name

Email
Other contact-2

Name

Email
Other contact-3

Name

Email

The information you register is protected by encrypted communication (SSL) and is securely managed by "Spiral", an information management system by Piped Bits Inc.

Piped Bits is certified under the Privacy Mark as well as ISO 27001/JIS Q 27001, ISO 20000-1 and ISO 9001.

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Application form