Register/Change-MIT Sloan Society of JAPAN-

membership

registration

Your registered information will be used for SSJ directory and news circulation.
Your registered information may also be disclosed to the MIT and Sloan School alumni offices and the MIT Japan club.
Please do not fill in information you would not like to disclose.
If there are any changes to the information you provided, kindly use the form below and fill in your information again.
* is mandatory information.

Registration	*(NEW or CHANGE)
Name :	*
E-mail	*
Program:	Master's Management of Technology Sloan Fellow Others *
Period:	- *
Home Postal Code:
Home Address:
Home Phone:
Home Fax:
Cellular Phone:
Business Affiliation
Business Affiliation/Dept.
Office Postal Code:
Business Address:
Business Phone:
Business Fax:
E-mail Notices	No E-mail /Event info is usually circulated via e-mails. However, if you do not wish to receive such information, Please check the left box.
Directory Listing	Not Listed/ If you do not wish to list your information to the SSJ directory, Do not list Please check the left box.
Event(s) Interested	Seminars Golf Wine Tasting Others
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