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To: President of the Health and Welfare Statistics Association We/I hereby would like to apply the Membership System wiith the understanding of the activities of the Association and the Membership System, together with the payment of the membership charge (for one year) of 130,000 yen ( from abroad, 160,000yen). Date________Month________Year__________ |
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Name of Organization/ Company/Individual | |||
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Your Address |
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Name of Representative |
____________________________________________________________ Seal or Signature |
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Address to which our publications to be sent | |||
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Payment of the membership charge in Japan: Please send the membership charge of 130,000yen through the bank or the Japan Post's Postal Giro Service. |
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Payment of the membership charge from abroad: Please send the membership charge of 160,000yen through the bank, in Japanese Yen. |
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Payment through bank: You are requested to afford the bank's charge for sending money. |
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Dissemination and Program Division Health and Welfare Statistics Association 5-13-14, Roppongi, Minato-ku, Tokyo Tel.: 03-3586-3361, from overseas: 81-3-3586-3361 Homepage: http://www.hws-kyokai.or.jp/ |