By mail: please print this page, fill it in and send it to: Swiss-Japan Association, Case postale 169, CH-1025 St.-Sulpice, Switzerland. By e-mail: please fill in this form electronically, and send it to contact@swiss-japan.org. Last name: ................................................................... Given name(s): ............................................................. Address: ...................................................................... Phone: ......................................................................... Fax: ............................................................................. E-mail: ......................................................................... Field of study: .............................................. at: ......................................................... Present occupation: ....................................................................................................   Stay in Japan (carried out or planned): Company, university, institute, etc... : .................................. Town and prefecture: ................................... from ........................ until ...................... Occupation in Japan: ...................................................................................................   Remarks / suggestions: ................................................................................................ ................................................................................................................................... ................................................................................................................................... I agree that my name can be communicated to companies / associations / organisations that could help the promotion of the goals of the SJA association: yes / no: ......................................... Place and date: .......................................................................... Signature: .................................................................................. [ home page SJA ] [ e-mail ] [ give feedback! ] [ cette page en français ] last update: 24th February 2007