I wish to enroll as a member of JAMS and will pay to Japanese Association of
Mathematical Sciences the annual dues upon presentation of an invoice.
Copies of Mathematica Japonica, Scientiae Mathematicae and Scientiae
Mathematicae Japonicae received as an JAMS member will be for my personal use
and shall not be placed in institutional, university or other libraries or
organizations, nor can membership subscriptions be used for library purposes.

1. Name*

Family Name, First Name, Middle Name (in this order)

2-1.Postcode for Home Address

(for example) 123-4567

2-2.Home Address

3.Name of Firm or Institution affiliation*

4-1.Postcode to which correspondence should be sent

(for example) 123-4567

4-2.Postal address to which correspondence should be sent
*

5.e-mail address *

(for example) ABC12345@xxxx.com

6-1.Telephone Number

(for example) 03-5471-5800

6-2.Fax Number

7.Membership Category *

A1

F1

F3

A3

S-F1

S-F3

S-A1

D1

D3

S-A3

S-D1

S-D3

@

(Please choose a Membership Category.)

8.Panel (Please choose one or more)

(f-1)Mathematical logic, Set theory, Relative systems, Algebra systems.

(f-2)Classical algebra, Number theory, Combinatorics, Cryptology.

(f-3)Topology, Geometry, Imaging.

(f-4)Real analysis, Complex analysis.

(f-5)Functional analysis, Operator theory.

(f-6)Differential equations, Integral equations, Functional equation, Numerical analysis.

(f-12)Biomathematics, Proteomics, Bio informatics, Imaging, System biology, Bioscience.

(f-13)Mathematical education, History of mathematics.

(f-14)Over several fields (Ex. Fixed point theory)

9-1.Does your institution have a videoconference room?

YES
NO (10-1). Which system is use for telecom,
ISDN
IP

9-2.Does your institution have facilities for distance learning?

YES
NO (10-2). Which system is use for telecom,
ISDN
IP

9-3.Does your institution have facilities in computer centers?

YES
NO (10-3). Which system is use for telecom,
ISDN
IP

11.Would you like to buy the printed copies of SCMJ *

YES @
NO
(whose prices a year are US$60(6,000yen) for 1-year-members(A1, D1, S-A1, S-D1) and US$55(5,500yen) for 4-year-members(A4, D4, S-A4, S-D4)?) *

12.If you apply for an aged member (70 years old or over), please type the year of your birth.

13.If you wish to be a student member,Please verify.

Student Verification (sign below)
I am a full-time student at

14.Date *

(for example) 2003/12/01

15.Signature

(Paper Form only)

Message

* is an input indispensable item. Please push a transmitting button after checking the contents of entry once again.