Japan-America Society of Indiana

Welcome Reception and JASI Bonenkai

Guests of Honor:
The Honorable Yoshifumi Okamura and Mrs. Okamura
Consul General of Japan at Chicago

5:30 – 7:30 p.m on Monday, December 5, 2011
Eiteljorg Museum of American Indians and Western Art (Indianapolis)

*恐れ入りますが、ご記入は全て英語にてお願い申し上げます。

Guest Names : (ご参加者名)

Contact Information　(ご連絡先)

Registration Fees (per attendee)

JASI Members(JASI会員):　$30
Public (一般):　 $45

Payment Method

Mail Check (小切手郵送)
Make check payable to:
Japan-America Society of Indiana, Inc
Union Station, 39 West Jackson Place, Suite 50
Indianapolis, IN 46225
Online Credit Card　(オンライン支払い)
If you elect to pay by credit card you will be taken to a form immediately after this form has been successfully submitted.
オンラインでのお支払いをご希望の方は、次のページより支払いのサイトにお進みください。
Send me an invoice　(ご請求書をお送りさせていただきます)
We will send you an invoice soon.