Application for
Regular Membership, Student Membership, Student Membership of Web Class

Click here for Corporate Membership. (in Japanese)

NOTICES　 Please fill out this form in English. Please be sure to fill in the blanks [*].

Membership Types *
Regular Member　(An admission fee: 500yen, The membership fee (per year): 12,000yen) Student Member　(An admission fee: 200yen, The membership fee (per year): 6,000yen) Student Member of Web Class　(An admission fee: free, The membership fee (per year): 3,600yen) ★ Student Member of Web Class: "Journal of the JSPE" is not distributed.
Personal Information
Name *	First Name (Given Name) Middle Name/initial Last Name (Family Name)
Sex *	Male　　 Female
Date of Birth *	-- 01 02 03 04 05 06 07 08 09 10 11 12 Month(MM) -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day(DD) ---- 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 Year(YYYY)
Technical Areas of Interest	Click here, to choose your special field of study within three. Entry example： 01B 09A 04A
Ｅ-Mail Address *	(The e-mail address of the mobile telephone is no good.)
Home Address *	City State Postage/Zip Code Country
Home Phone *	(Country Number) - (Area Code) - -
Mobile Phone	(Entry Example：090-1234-5678)
Home Fax	(Country Number) - (Area Code) - -
Occupational / School Information
Company/ Organization/ School Information	Company/Organization/School * Position/Title Division/Department/Faculty
Address *	City State Postage/Zip Code Country
Phone *	(Country Number) - (Area Code) - -
Fax	(Country Number) - (Area Code) - -
Education-Highest Level Completed
Institution	(Last School or Institution)
Degree
Graduation Date *	Month(MM) Year(YYYY) (If you are a student, fill the expected year and month in the blanks.)
Preferred Mailing Address *
Office Home ( Check the one at which that you'd prefer to be contacted. )
If you have been introduced by a JSPE member, please write the member's name.
Introducer's name:
Note
★ If you would like to inform us of anything, please write in this blank in English.

◇◆◇◆◇◆　Here is the end of the enrollment application. ◆◇◆◇◆◇

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Application for Precision Engineering

Application for Precision Engineering	I do not wish to subscribe to Precision Engineering I do wish to subscribe to Precision Engineering If you would like to subscribe to Precision Engineering, please check the appropriate circle and fill out this form in English. This journal will be directly sent to you by Elsevier Science LTD.
Preferred Mailing Address	Office Home ( Check the one at which that you'd prefer to be contacted. )
Note	★ We welcome your questions and/or comments.

Please ensure all information you have provided is correct. Click to register.

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