Membership Application Form

(Write in below spaces and send this Form to the Society's secretary by Facsimile, please)

The incumbent President for 2005-2007 is Shigeyoshi Senga, International College of Arts and Science, Yokohama City University. Contact to Senga's Office, Faculty of International Culture and Sciences, Yokohama City University, 22-2 Seto, Kanazawa, Yokohama 236-0027, Japan. Fax: +81-45-787-2413.

Please print all word clearly.
Please inform the Society's secretary at least ten days in advance of semiannual regular council meetings (late May and early October). If your application is approved by the regular council, you will be a member of the Society.
In order qualify for Society membership, you must have graduated at least two years prior to theon for membership.
If you are a postgraduate student, you should note this on your application form under "Current College / University Affiliation".
If either your school / work address or home address change, please notify the Society's secretary as soon as possible.

The Japanese Society for the History of Economic Thought / Membership Application Form

Application Number (Please do not write in this space)

Year:
No.:

Date of Application (Please do not write in this space)

Year:
Month:
Day:

Name of Applicant

Family Name:
Given Name:
Signature:

Birthdate

Year:
Month:
Day:

Applicant's Graduation Date (undergraduate school)

Year:
Month:
College / University:
Major Study / Field:

Current College / University Affiliation

Name:

Current School / Work Address

Postal Code:
Address:
Phone:
Fax:

Current Home Address (if different from above)

Postal Code:
Address:
Phone:
Fax:

E-mail Address

(write clealy):

Recommender's Names (2 required)

Family Name:
Given Name:
Signature:

Family Name:
Given Name:
Signature:

Recent Research Topics

(10 words or less):

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