Corporate Membership Form

The Japan America Society of Indiana is a 501(c) 3 organization. Membership dues and contributions are tax deductible to the extent provided by law.

As a JASI Corporate Member your company name will be listed on the Corporate Roster and on the JASI Website, and Corporate Member representatives will receive invitations to corporate programs, referrals, support services from the JASI staff, and other corporate benefits.

Corporate Name 
Mailing Address 
City 
State 
Zip Code 
General Business Phone 
General Fax 
Description of Business 
Number of Employees 
Primary Customers (optional) 
Firm's Interest in Relation to Japan 

Key Contact Name(s) and Title(s)

Name

Title

Direct Phone

Name

Title

Direct Phone

How did you hear of JASI?

Annual Corporate Membership Dues

Grand Patron $3,000 1,500+ employees
Benefactor $1,500 50+ employees
Sponsor $750 1-50 employees
Introductory Sponsor $500 1-50 employees
Three-year introductory level for small companies.
Not for Profit $350 1-50 employees
This level available for not-for-profits.

Payment Method

Mail Check
Make check payable to:
Japan-America Society of Indiana, Inc
Union Station
39 West Jackson Place, Suite 50
Indianapolis, IN 46225

Online Credit Card
If you elect to pay by credit card you will be taken to a form immediately after this form has been successfully submitted.