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Membership

Membership Application Form (for Group Registration)


Notice

  • To apply for membership as an association you need to fill out the Membership Application Form for group registration and send it. Without the requested document we are not able to process any membership application. * is the required item.
  • The annual fee for membership of AASD per person is 100USD (10,000JPY for Japanese) and for graduate student / clinical resident is 50USD (5000JPY for Japanese), including the subscription fee for JDI.
  • The amount of annual fee for the association must be consistent with the total for multiplication of number of membership by 100USD or 50USD (10,000JPY or 5,000JPY for Japanese).
  • The application procedure will be completed after AASD office verifies the deposit slip of your payment.
  • Please use bank transfer to pay for group member fee.
  • Membership is automatically renewed unless we receive a notification of withdrawal.


STEP1 >> STEP2 >> STEP3
Name of Organization*
Country*
Name of Representative for Members*
Number of Membership
  Ordinary* 100USD (10,000JPY for Japanese) per person
  Graduate Student /
  Clinical Resident*
50USD (5,000JPY for Japanese) per person
Payment* Bank transfer
Address : This address will be used for the mailing of JDI, receipt, membership ID, etc.
  Street*
  Postcode*
  City*
  Tel*
  Fax
  E-mail*
  E-mail(RE)* Please input same E-mail.

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