Application Form
Please enter all of the items labeled in red.

*Check the membership category

Individual Member（5.000yen）

Family Member（3.000yen）

Student Member（2.000yen）

Group Member（10.000yen）

Corporate Member（50.000yen　or multiples thereof）

Premium Individual Member（20,000yen or more）

Premium Corporate Member （100,000yen or more）

*Name/Name of corporate or group

Correspondent of the corporate or group

Position

*Address

*Zip code

*Tel

*Fax

*E-mail

Educational Institution(For Student Membership)

*How can we reach you? Please check one of the following items.

E-mail　 FAX　 Mail

Please also fill the following:

１．Occupation(For Individual Members)

Corporate,Government,etc.　 Self-Employed　 Education　 Media

Freelance　 Art&Culture　 Housewife　 Others

２．I am interested in:

Debate Overseas outreach programmes Lecture meeting etc.

English seminars Exchange programmes Volunteer

Please pay your membership dues by bank transfer to the following account.

Bank of Tokyo-Mitsubishi UFJ
Akasaka Mitsuke Branch

Account Number (Ordinary Deposit) 0048600

Ippan Shadan Hojin Nihon Eigo Koryu Renmei Kaihi guchi

For further informaiton contact!

E-MAIL:esuj@esuj.gr.jp

Fujikage-Building 9th Floor, Motoakasaka 1-1-5
MInato-ku, Tokyo 107-0051
TEL: 03-3423-0970 FAX: 03-3423-0971