ISF Membership Application Form Membership Category (Please pick one) 1 Individual US$25 Annual UK£15 Annual 2 Senior (Over 65 years old)* US$20 Annual UK£14 Annual 3 Youth/Student (Under 20 years old/College Student)* US$15 Annual UK£12 Annual For Youth/Senior membership, need to send a photocopy of college ID or valid identification to ISF center. Name: ____________________________________ Date of Birth: ________ /__________/_________ Sex:   [] Male    [] Female Address: ____________________________________________ City: _______________    State: _________________________ Zip code: _______________________ Tel: ____________________     Fax: ____________________ E-mail: _____________________________________________ Occupation: _________________________________________ Shinto Kokusai Gakkai <Headquarters> Hirai 5-22-9, Edogawa-ku, Tokyo 132-0035, Japan Phone & Fax : +81-3-3610-3975