かながわ再生・細胞医療産業化ネットワーク（ＲＩＮＫ）|Membership Application Form

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Applying by post

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Applying by Internet

Please fill in each items and click the accept bottom.

Sort of member (MUST)	Regular memberSupporting member (Please check one)
Name of University, Company, Organization etc	Name (MUST)
Representative	Title(MUST) Name(MUST)
Person-in-charge (Contact person)	Title Name (MUST) E-Mail (MUST) ZIP Code Address Phone (MUST) FAX
Outline of Business(MUST)
Reasons(MUST)
Please check the categories (multiple Choices) of your interest in the objectives (1) - (7) Article 3 , rules of Association. Click here of confirmation the rule (1)(2)(3)(4)(5)(6)(7)

Inquiries to:
Regenerative　medicine ＆Cell therapy industrialization network of Kanagawa Secretariatc/oKSP, Inc, , W304 KSP 3-2-1 Sakado,Takatsu-ku, Kawasaki-city, Kanagawa 213-0012, JAPAN

e-mail：info@rinkrink.jp Tel：＋81-44-819-2001

[notes]

Please send the application form to the following secretariat by mail.
Please fill in the name of the representative in this project (or a person with authority equivalent to this for the representative).
For individuals wishing to join, please fill in the Representative field and contact person field, leaving the Name of University, Company, Organization etc blank.
The information entered in this application form will be used only for membership procedures and operation after admission.