Full name: *


Name of spouse (if married):


Email: *


Address:: *


Phone: *


How long have you been in Japan?: *


Church/organization in Japan: *


Briefly describe the type of ministry you are involved in: *


Name of at least 1 current JEMA Member who can recommend you: *



I agree to the constitution and by-Laws of JEMA. *


I agree that my contact information including full name, spouse name, email address, postal address, phone number, the entry year to Japan, and the church/organization in Japan, will be published in the annual JEMA Directory. *


I agree to receive occasional JEMA email news and ads at the email address above. I understand I may unsubscribe at any time. *