ISIR Member Registration
国際いけ花学会入会申込書 International Society of Ikebana Research: www.ikenbana.link
Name
*
First Name
Middle Name
Last Name
Title
*
Please Select
Mr
Ms
Dr
Professor
Other
E-mail
*
example@example.com
Affiliation 所属
Academic Institution/Ikebana School etc.
Membership Type
*
Please Select
¥1000 - Until next March
¥2000 - Until next March + 1 year
¥3000 - Until next March + 2 years
¥5000 - Until next March + 4 years
￥１０００: 現在の会期末（次の３月末）まで。 ￥２０００: 現在の会期末（次の３月末）まで＋１年間。 ￥３０００: 現在の会期末（次の３月末）まで＋２年間 。 ￥５０００: 現在の会期末（次の３月末）まで＋４年間。
Q1. How did you hear about ISIR? 国際いけ花学会をどちらでお知りになりましたか？
Friends or Teacher
Instagram
Facebook
Melbourne Ikebana Festival
Ikebana Gallery Award
Search Engine (Google etc.)
Other
Q2. Are you a qualified ikebana teacher? 生け花師範、教授資格をお持ちですか？
Yes - Go to Question 3
No
Q3. Would you like to be listed in our Ikebana Teacher's Directory? 生け花教師ダイレクトリーへの掲載をご希望ですか？
Yes - Go to Q4 &5
No
Q4. Can we publish your contact details in the directory? ダイレクトリーで以下の情報を公開しますか？
Email address
Web site
Social Media
Q5. Upload your profile image (less than 500 px) & your cv (Word doc). 顔写真（あるいは作品写真）と履歴書をアップロードしてください。
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