Fill out the form below for "International subscribing member" of JCR. The membership dues are ￥12,000 (amount in Japanese YEN). Six issues and a supplement will be delivered per year. "International subscribing member" is renewed annually upon receipt of payment. Title Choice Dr. Prof. Mr. Ms. Mrs. First Name Surname Affiliation Job title Address City State Country Zip code Phone Number Fax Number E-mail E-mail (confirm)