Japan-America Society of West Michigan
西ミシガン日米協会
MEMBERSHIP APPLICATION FORM
Name: ________________________________________________________________________
Company: ________________________________________________________________________
Address: _______________________________________________________________________
City: _____________________________________ State: ________ Zip: ________________
Tel: (____)_____________ Fax: (____)_____________ E-mail: _______________________________
Enclosed is my member support of the Japan-America Society of West Michigan (annual dues).
Corporate: Individual and Family:
��
Chrysanthemum / 菊 Tier — $3,000 �� Sustainer — $1000��
Cherry Blossom / 桜 Tier — $2,000 �� Supporter — $750��
Pine / 松 Tier — $1,500 �� Friend — $500��
Bamboo / 竹 Tier — $1,000 �� Family — $50��
Plum / 梅 Tier — $500 �� Individual — $35��
Iris / 菖蒲 Tier — $250 �� Student — $15The Japan-America Society of West Michigan thanks you for your support of events, exchanges and educational activities that foster greater understanding and friendship among our Japanese and American communities in West Michigan. JASWM looks forward to your participation in JASWM activities. The Japan-America Society of West Michigan is a 501(c)(3) non-profit organization under the tax laws of the United States.