The Japan Landslide Society

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JLS Membership Application

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  • JLS Membership Application

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    1.Primary contact information

    Salutation
    First Name
    MI
    Last Name
    Organization name
    Depertment/Division name
    Title
    Address1
    Address2
    Address3
    City
    Country
    I want membership in developing countries
    Postal Code
    Address Type
    Phone
    Phone Type
    Email
    Retype Email

    2.Home Address(If the primary address is not home address)

    Home Address1
    Home Address2
    Home Address3
    City
    Postal Code

    3.Supplemental Data

    Date of Birth
    (mm/dd/yyyy)
    Gender
    I am currently a student
    Highest Degree Obtained
    Graduation Date

    ※ Please send after confirming that all the required items are filled in.

    公益社団法人 日本地すべり学会 The Japan Landslide Society
    Shimbashi Kato Bldg., 5-26-8, Shimbashi, Minato-ku, Tokyo 105-0004 Japan
    Phone : +81-3-3432-1878
    e-mail member?landslide-soc.org
    Attention! Please replace ? with @.