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Membership type (choose one):
Corporate 100,000 yen/year
Corporate Overseas 20,000 CZK or 800 EUR/year
Individual (include students) 10,000 yen/year
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Company name (neccessary for Corporate Membership)
-> For individual membership just write simply "NO":
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Job title/Position (for individual membership just write simply "NO"):
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First Name:
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Last Name:
Sex:
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Female
Website:
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Phone number:
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E-mail:
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Address:
Business category (only for Corporate Membership):
Business activities (only for Corporate Membership):
Other comments:
Number of Employees (only for Corporate Membership):
Self-empoyed
Up to 10
Up to 50
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Up to 500
Over 500
By this application form I confirmed that all inclued data are true, further that I have thoroughly red the
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CCCIJ`s Professional Business Services (PROPEA) started!
15 Oct 2019
(2019/12/15) Concert by NEU Philharmonic Orchestra
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Czech Chamber of Commerce and Industry in Japan, CCCIJ
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