NPO Pride of Asia : Preah Vihear Association Japan | Cambodian World Heritage [Preah Vihear Temple]

NPO Pride of Asia : Preah Vihear Association Japan

Membership registration form

NPO法人アジアの誇り・プレアビヒア日本協会 / Pride of Asia : Preah Vihear Association Japan | HOME >> 入会のご案内 >> 会員登録フォーム

>Membership registration form

If you would like to join, please fill out this form.

■Name（Required）
■Kana if you can（Required）
■Date of Birth（Required）
■Sex（required）: Male　Female
■Occupation（Required）
■Membership classification（Required）: Regular member (general)　Supporting members (general)　Supporting member (student) Supporting Member (Corporate / Organization)
■Address of send Document（Required）: Home　Office
■Company name / department (Those who wish to send documents to the company): company name

Department
■For students: University name / Faculty / Department

Scheduled graduation date
■Address（Required）: Postal Code
Address(Required)
■phone（Required）
■Fax
■Mobile
■e-mail（Required）
■email [Confirmation] （Required）
■News by e-mail magazine（Required）: Yes　No
■Activity item of interest（Required）: Environmental conservation and restoration projects around the ruins in Asia
Planting trees, raising seedlings and conducting preliminary surveys
Human resource education, job training, and agricultural support projects for improving the lives and independence of local residents
Sightseeing resource development support project for the ruins and surrounding area
Coordination and exchange support projects between Japanese NGOs and overseas NGOs
Public relations activities related to the entire ruins
Others
■How did you know this Association?（Required）: Introduction from a friend
Seminar etc.
Newspaper etc.
Internet etc.
Other