Application for Membership

Membership document request form

Fill in the blanks and press the SEND button for application of membership.
You will receive a detailed document.

Request for document
I request the document for application of membership in Japan
Name
Family name：
Given name：
Postal code
〒
Delivery address
Phone
E-mail
Applicable
Name of office
Practitioner
Japan Dental Association
Admission fee 4,000yen
Annual fee
(April-March)		 12,000yen Regular member A = Practitioner, dentist employed by practitioner,and employee at research institute
6,000yen Regular member B = Co-dental staff at university, vocational school,or hospital
Japan Academy of Esthetic Dentistry

Komagome TS Bldg. 4F

1-43-9, Komagome, Toshima-ku, Tokyo 170-0003, Japan

c/o Oral Health Association of Japan

Phone: ＋81-3-3947-8891／FAX：＋81-3-3947-8341

E-Mail： jaed@kokuhoken.or.jp