I hereby apply for membership in the International Society for Japanese Philately, and enclose payment of US$16.00, which includes a subscription to Japanese Philately.
________________________ _______________________________________________
Date Signature
Please PRINT or TYPE answers to the following:
________________ ________________________________________________________ Title Name
____________________________________________________________________________ Mail Address
____________________________________________________________________________ Mail Address
___________________________________________ _______________ _______________ City State Postal Code
__________________________________ ________________________________________ Country Citizen Of
_______________ ___________________________________________________________ Age Occupation
__________________________________________________________________________ E-Mail Address
____________________________________________________________________________ Applicants with APO or FPO addresses, please indicate country of assignment
____________________________________________________________________________ How did you learn of the ISJP?
___________________________________________________________________________ Other international or national philatelic societies to which you belong
Have you ever been refused admission to a philatelic society?________________________
Have you ever been expelled from a philatelic society?______________________________
Check each of the following which you actively collect: