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Minato Unesco Association

Membership Application Form

    Name(required item)
    Date of birth(required item)
    Address(required item)
    Telephone(Mobile phone available)(required item)
    E-mail(PC、Mobile)(required item)
    Select Membership Category (please select one)

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    *The above personal information will not be used for any purpose other than contributing to the activities of the Minato UNESCO Association.