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 KIRA English Home>English Membership TopForm for Family   
     

Application Form for Change of Membership Type

for Family Members

    

Click on either Button 1 or Button 2. (Required)
If you are presently a Regular member, click on the button below.
Button 1  I would like to change my membership from Regular (Family) to Full (Family). 
If you are presently a Full member, click on the button below.
Button 2  I would like to change my membership from Full (Family) to Regular (Family). 
.
Please select one reason.
  I'd like to be involved in the administration and activities, and have voting rights at general meetings. 
  I'd like to participate in activities, but have no need for voting rights at general meetings.
  I'd like to participate and cooperate as much as I can, but have no need for voting rights.
  I'd like to participate freely.
  Other

Today's date (Required)
   Year     
 Please complete the fields below.
  Name of family representative  (Required)
           

Note 1)  When changing from Regular to Full membership, enter the name of the family representative.
This person shall represent the family in voting at KIRA general meetings.
Other family members shall not have voting rights in the same way as Regular Members.  
Note 2) When changing from Full membership, enter the name of the present family representative.
This family member shall lose voting rights at KIRA general meetings 
 
   E-mail Address  (Required)
         

  Please make sure you have entered your e-mail address correctly.
.
  Your Comments (Optional)
     (300 characters or less. Do not use katakana and half-width characters))
        
   Before submitting, please double-check your application to make sure all the information is complete and correct.
   Click on the button on the right to submit the application to KIRA..      
  Click on the reset button on the left to clear the application