Startup application form

スタートアップ会員申込み

Startup Member Application FormStartup Member

Startup Members are startup companies, organizations, or entrepreneurs who express their support for the council’s mission and activities.

    RequiredApplication Name

    Required Company Name / Organization Name

    ※ This will be the addressee on the invoice.

    RequiredDate of Establishment of the Company/Organization

    Required Name of Representative

    Required Full Name(Pronunciation)

    RequiredDate of Birth of Representative

    RequiredPosition of Contact Person (Liaison with the Secretariat)

    RequiredName of Contact Person

    Required Name of Contact Person(Pronunciation)

    OptionalName of the company or organization you belong to

    RequiredFull Name

    RequiredFull Name(Pronunciation)

    RequiredDate of Birth

    RequiredContact Information of the Person in Charge (Email Address)

    RequiredContact Information (Email Address)

    RequiredContact Information (Phone Number)

    ※ with hyphens and in half-width characters

    RequiredRegarding Listing on the Website

    Please select the option that best reflects your preference regarding publication on our association's website and in our public relations activities.

    RequiredEmail address for receiving newsletters from the association.

    RequiredPostal Code

    ※ Half-width numbers

    Required Country

    Required Address

    Optional Building name, room number, etc.

    Optional company name/organization name, department name, etc.

    Required membership requirements 2

    As a Startup Member of this Council, I will pay the annual membership fee listed below.
    【Term: From January to December】
    ※ The payment method will be provided after your membership is approved.

    RequiredMembership Requirement 3

    Required About posting logos, etc. on arbitrary home pages

    If you would like us to use your logo and name (company name/organization name) on our website, public relations activities, etc., please provide us with the following two items.
    *The only supported file formats for logo data are jpg, jpeg, png, and gif. Please upload the logo data without any white space around it.

    logo data

    URL of the homepage linked from the logo

    If you have any questions or concerns, please write them down.

    Regarding the membership application procedure

    When applying for membership, we will review your application based on the information you enter.
    Please note that it may take some time for approval.