National Association of Japan-America Societies, Inc. 1225 19th Street, nw, Suite 700




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National Association of Japan-America Societies, Inc.

1225 19th Street, NW, Suite 700

Washington, DC 20036

Bridging the Pacific Since 1978

www.us-japan.org

Tel: (202) 429-5545

Fax: (202) 429-0027

Email: contact@us-japan.org


National Association of Japan-America Societies, Inc.
Membership Application Form
For Japan-related Organizations

(Last updated in February 2010)


Thank you for your interest in becoming a part of the NAJAS Network. The information you provide on this form will assist the NAJAS office in determining how to best serve your organization’s needs. Please contact the office if you have any questions.


Basic Information

Date Application Submitted:




Name of Organization:




501 (c) (3):




Address:



Phone:




Fax:




Email (general):




Website URL:




Contact Person:

Mr./Ms.







Phone & Fax:







Email:







About the Organization:

Chairperson/President of Board of Directors:




Executive Director/President:




Staff Person(s):




Date Organization Established:




Mission Statement:
(Summary)



Annual Budget:

$

(This information is used to determine annual membership dues)




Miscellaneous Questions

Q1.

What are the primary reasons/motivations for joining the NAJAS network?

A1.


Q2.

What services would you like to see offered by NAJAS?

A2.


Q3.

Do you have explicit Board approval to apply for NAJAS membership? If so, when was the approval given?

A3.





What services offered by NAJAS do you intend to use?

*This is not intended as a comprehensive list of services/benefits available through the NAJAS network.




Communication

Programs/Events




Web Hosting




Annual Meeting




Web Updating




Baseball Camp Exchange




Online JAS Info.




KKC Teacher Fellowship




Email Account(s)




Speaker Programs













Administration










D&O Liability Insurance










Online Member Section










Listserv








Please attach/enclose the following items.




1.

By-laws




2.

Certificate of Incorporation




3.

List of Board Members




4.

Member Society Survey (provided by NAJAS)



This application is prepared and submitted by:















Name (print)

Signature

Date















Title

Organization











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