The Operations Research Society of Japan San-Chika Building 7F, 1-13-5 Iwamoto-Cho, Chiyoda-Ku, Tokyo 101-0032, JAPAN Tel:+81 3 3815 6100 E-mail:[email protected] http://www.orsj.or.jp/ Application Form for Membership Personal Information Name: , (male / female) First Name Family Name Nationality: Date of Birth: Day/ Month /Year Name of University / Office Address Phone: E-mail: Home Address I hereby make application for individual membership of the Operations Research Society of Japan. □ I have made the bank transfer. (I enclose the copy of memorandum for remittance of JPY15,900.) Date of Application: Signature: The Operations Research Society of Japan San-Chika Building 7F, 1-13-5 Iwamoto-Cho, Chiyoda-Ku, Tokyo 101-0032, JAPAN Tel:+81 3 3815 6100 E-mail:[email protected] http://www.orsj.or.jp/ Descriptions Registration Fee for Overseas Membership Overseas Annual Membership Fee Please pay this amount in Japanese yen Payment Options: Remit the amount to the following account. BANK: MIZUHO Bank, Ltd. Nezu Branch Address: 2-7-9 Sendagi, Bunkyo-ku, TOKYO 113-0022, JAPAN Swift Code of Mizuho Bank : MHCBJPJT Account Name: The Operations Research Society of Japan Account No: 235-1530801 The transfer fee of the bank is a payer burden. Please mention invoice number when you make payment. To insure proper credit, return one copy of this invoice with payment. Price JPY1,500 JPY 14,400 JPY 15,900
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