The Japan-America Society of Indiana
Bonenkai & Appreciation Reception

Guest of Honor
The Honorable Mitch Daniels, Governor
State of Indiana

Tuesday, December 18, 2012
5:30 – 7:30 p.m.
Indiana State Museum
650 West Washington Street, Indianapolis


REGISTER BEFORE:
Friday, December 14th, 2012

Contact Information (代表者のご連絡先)


Attendee Information:

JASI Member Public

JASI Member Public

JASI Member Public

JASI Member Public

Registration Fees

JASI Members (JASI会員): $35.00

Public (一般):  $45.00

Payment Method

Mail Check
Make check payable to (下記住所まで、小切手をお送りください): 
Japan-America Society of Indiana, Inc
Union Station
39 West Jackson Place, Suite 50
Indianapolis, IN 46225
Online Credit Card 
If you celect to pay by credit card you will be taken to a form immediately after this form has been successfully submitted.

        (下記、お申込みボタンをクリックした後、オンラインでのお支払い画面に進みます)
Send me an invoice
We will send you an invoice soon.

        (ご請求書をお送りさせていただきます。)