Japan Pinhole Photographic Society New Member Application Form
I want to join the Japan Pinhole Photographic Society as an International Member.
Please fill in the form below and click [Submit].
You must enter in the fields marked with ※ (these are necessary JPPS member data); other fields are optional.
Your name ※ E-mail address ※ Homepage URL Birth date 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 1899 1898 1897 1896 1895 1894 1893 1892 1891 1890 1889 1888 1887 1886 1885 year 1 2 3 4 5 6 7 8 9 10 11 12 month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 day Occupation Photographer Artist Office clerical worker Engineer Management Corporate officer Teacher Professional (doctor, lawyer, accountant, etc.) Self-employed or freelance Temporary or short-time contract employe Housewife Part-time College, junior college, or special school student High school, junior high school, or elementary school studen Civil service worker Home helper Unemployed Others Mailing address ※ Tel Ex. 123-456-7890 Fax Ex. 123-456-7890 Photography experience None 1 - 5 years 6 - 10 years 11 - 15 years 16 - 20 years 20 years or more Pinhole photography experience None 1 - 5 years 6 - 10 years 11 - 15 years 16 - 20 years 20 years or more Photographic materials you usually use None Polaroid Printing paper 35mm film 120 medium format film 4×5inch 8×10inch Other Your main pinhole camera(s) Message (if any) Items to appear on the members list (Please mark the check box(es) for the entry item(s) you permit to appear on the JPPS Members List. Note that your name and country will always be shown on the list.) Mailing address E-mail address Tel Occupation