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INMP Membership Application Form

INSTRUCTIONS: To become an INDIVIDUAL or INSTITUTIONAL Member of INMP, please complete this form. For details, see here. To pay your membership fee, [INSTITUTIONAL: ¥12,500 or INDIVIDUAL=¥2,500] please go to this site.

* Indicates required field

Email *
Name *
Organization Name *

[If you are not affiliated with an institution or organization, please write "None," "Retired, "Independent," etc.]

Title or Role *

[For example, artist, educator, volunteer, researcher, journalist/writer, museum director or curator, photographer, etc.]

This is an application for: *
INSTITUTIONAL APPLICANTS ONLY: Please list Names and email address of up to 4 employees or other members of your organization to have multi-user privileges as an INMP Institutional Member
Street Address *
City *
State/Province *
Country *
Telephone Number
Mobile Number
Facebook Link
Twitter Link
LinkedIn Link
Photo *
Your Comments (if any)