ELSJ Membership Form

ELSJ Membership Application Form

To the Office of the English Literary Society of Japan
I wish to join the English Literary Society of Japan and its regional branch indicated below. Please send me

[Please delete as appropriate.]
an Automatic Deduction from Postal Savings Account slip
or
a Postal Giro slip

to pay my annual membership fees. I will pay the appropriate sum of money promptly.

[Please fill in the blanks and delete as appropriate.]
Name:
Post code and address:
Telephone number:
E-mail address:
Institution:
Academic rank or status: Professor / Associate Professor / Full-time Lecturer / Part-time Teacher / Graduate Student
Membership option: Regular member / Student member / Corporate member
Regional branch of your choice: Hokkaido / Tohoku / Kanto / Chubu / Kansai / Chugoku-Shikoku / Kyushu / Not applicable (Corporate members or overseas residents only)
Admission year (based on the Japanese academic calendar starting from April):
Referee (if you are applying for student membership, please name someone who recommends you and his/her institution):