Application Form

Application for Membership to the Japan Studies Association
When submitted the application for membership is eletronically mailed to Dr. Michael Steiner, Director of Information and Secretary for the JSA.

Preferred Title         
First Name                         
Middle Initial/Name                         
Last Name                         
Address1                         
Address2                         
Address3                         
City State/Provence                         
Postal/Zip Code                         ;Country                         
Telephone (optional):                         ;Area Code + Number                         
Affiliated Institution (if applicable)                         
Affiliated Department (if applicable)                         
Area of Interest (may list more than one)                         
E-mail Address                         

Annual dues are $25 for individuals and $250 for institutions.
Indicate:
        I would like more information concerning JSA.
        I am interested in joining JSA:          individual membership          institutional membership
        I have sent my check payable to: Japan Studies Association
                                         c/o Dr. Michael Steiner
                                         Secretary of JSA
                                         Department of History, Humanites, Philosophy and Political Science
                                         Northwest Missouri State University
                                         Maryville, MO 64468 USA
        I cannot send my check until I receive billing.
        I am interested in attending the next JSA conference. Click here for details.

Comments/Questions:

Mail this completed form and check (or any other business correspondence, including changes of address) to:
Dr. Michael Steiner, Department of History, Humanities and Philosophy, Northwest Missouri State University, Maryville, MO 64468.

JSA is a 501(c)(3) not-for-profit educational organization - www.japanstudies.org