International Marine Simulator Forum Application for Membership

This application is a property of the IMSF and cannot be changed or edited apart from the entries in the application form.

  Name of organization ____________________________________________
  Permanent address for mail from the Forum

                       ________________________________________________________

                       ________________________________________________________

                       ________________________________________________________

  Name of representative  _______________________________________________
  State your specific interest in marine simulation.

                      _________________________________________________________

                      _________________________________________________________

                      _________________________________________________________

  Telephone: __________________________   Telefax: _______________________

  Email: ______________________________

  If accepted for membership in the IMSF at the next meeting in the Forum, I hereby agree to abide by its Constitution, rules, and By-Laws.

  Signature _____________________________________   Date:________________

  Position   ___________________________________________________________

Please fax or mail application to:
Chairman, International Marine Simulator Forum
Prof. Hiraoko Kobayashi
Tokyo University of Mercantile Marine
Etchujima 2-1-6
Koto-Ku
Tokyo 135
JAPAN
Phone:      +81 3 5245 7392
Fax:          +81 3 5245 7392
E-mail:       kobayasi@ipc.tosho-u.ac.jp

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