Membership Renewal Form

The membership year runs from July 1 to June 30. Credit card payments will be accepted, but checks are preferred. Please make checks payable to Japanese Art Society of America, Inc. Checks in US$ preferred. Overseas members, please pay by a check drawn on a U.S. bank or by international money order or by Visa/MasterCard. If you have any questions, please e-mail the Administrative Secretary.

All members must send this membership renewal form regardless of the method of payment, in order to check the accuracy of our data. We appreciate your cooperation. Please note new address. Please take a few minutes to fill in the form on-screen below, then print out using your browser's print button. Sign (if using credit card), enclose your membership fee and mail to:

Attn.: Administrative Secretary
Japanese Art Society of America, Inc.
P.O. Box 665, FDR Station
New York, NY 10150

For your convenience, you may attach an address label or business card rather than writing your address.

Membership No.              Title:      Dr.     Mr.     Mrs.     Ms.

Name(s) of Dual/Family Members, Organization

Street Apt. #

City   State   Zip   Country

Daytime Phone                Evening Phone

Fax        E-mail Address

I am willing to receive ALL mailings except newsletter and Impressions by e-mail.   Yes  No

Membership Levels

Student (full-time; please include a photocopy of the I.D.): $40
Individual: $75
Individual (overseas): $100
Dual/Family (single mailing address): $100
Supporting: $125
Patron: $250
Benefactor: $500
Corporate: $500
Additional contribution: $

My check is enclosed    Charge my Visa   Charge my MasterCard

Card Number             Expiration Date

________________________________________________________________
Signature

The Japanese Art Society of America, Inc., is a Not-For- Profit 501 (c) (3) Exempt cultural and educational organization. Memberships and contributions are tax deductible to the extent permitted by law.