【For Individual Members】 Specified non-profit organization Miyako Itchu Institute of Music and Culture Membership Application Form

【For Individual Members】
Specified non-profit organization
Miyako Itchu Institute of Music and Culture
Membership Application Form

※Name

姓
名

Address（home）

※Address（home）

〒 - 住所検索

都道府県

市区町村番地

マンション/ビル名

※Phone Number

- -

※Email Address

確認のためもう一度入力してください。

Please re-enter your email address for confirmation.

※Number of Shares (Individual membership is ¥12000 per share)

Example: 1

Referrer (Optional)

If referred by someone, please mention their name.

Inquiries/Contact Notes:

Privacy Policy: Your personal information will be used solely by the Miyako Itchu Institute of Music and Culture for communication purposes and will not be shared with third parties.

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