Introduction Form

The International House of Japan is recruiting new members for its future activities.
Any introduction from our current members would be most welcome.

*The candidate’s permission is needed before completing the form below

*Please inform the candidate that an I-House membership application form will be sent later by the International House of Japan.

*Personal information will not be used for other purposes.

*Please note you might be one of the sponsors if the candidate does not know any members for recommendation statements.

*You will receive an I-House coupon (10,000 yen) if a candidate becomes an I-House member through your introduction.

Candidate Information:

Name (required)

Title
Mr.Mrs.Ms.Dr.Prof.

Postal Mailing Address (required)

Recommendation statement (required)

Your Information

Membership number (required)

Name (required)

Title
Mr.Mrs.Ms.Dr.Prof.

E-mail (required)

*Please refrain from registering the e-mail address of a cell phone or free email account (eg. Hotmail, Gmail), as some important notices might not reach you because of spam filters.

Note

*Introductions must have all of the required information to be considered.

 Check here to confirm the above information before clicking the Send button.

Inquiries

Membership Office
International House of Japan
5-11-16 Roppongi, Minato-ku, Tokyo 106-0032
TEL: 03-3470-3212 (Mon.-Fri., 9:00 am-5:00 pm)
FAX: 03-3470-3170