Member Registration
* Username
Usernames must be at least 4 characters long
* Password
Passwords must be at least 5 characters long
* Confirm Password
* Screen Name
If you leave this field blank, your screen name will be the same as your username
* Email Address
* Confirm Email Address
URL
* Given name(s) (Public)
* Surname (Public)
Address (line 1) (Private)
Address (line 2) (Private)
City (or -ku in Tokyo)
Prefecture (Japan) (Public)
Select the prefecture (below the default of "Outside Japan")
State/Province (outside Japan) (Public)
Only for non-Japanese addesses
Postal/zip code
Country (Public)
Phone (Private)
Fax
Mobile (Private)
Company or Organization Name
Facebook page (Public)
The URL of your Facebook home page
Additional email address
(just in case!)
Twitter (Public)
Additional website
Areas of Expertise
Initial Dues Payment Method
Initial Dues Cash Payment Details
Terms of Service

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* Required Fields