The Inter-Pacific Bar Association (IPBA)

Member Registration Form
All fields marked * are compulsory.
MEMBERSHIP CATEGORY AND ANNUAL DUES: *
Standard Membership	US$ 195 or Y23,000
3-Year Term Membership	US$ 535 or Y63,000
Lawyers in Developing Countries with Low Income Levels OR Corporate Counsel	US$ 100 or Y11,800
Young Lawyers (under 30 years old)	US$ 50 or Y6,000
First Name *
Last Name *
Firm Name *
Telephone (Main) *
Telephone (Direct Line) *
Email *
Facsimile *
Date of Birth *
Sex *	Male Female
Correspondence Address *
City *
Town *
State *
Country *
Jurisdiction
CHOICE OF COMMITTEES:
Aviation Law Intellectual Property Banking, Finance and Securities International Construction Projects Competition Law International Trade Corporate Counsel Legal Development and Training Cross-Border Investment Legal Practice Dispute Resolution and Arbitration Maritime Law Employment and Immigration Law Scholarship Energy and Natural Resources Tax Law Environmental Law Technology and Communications Insolvency Women Business Lawyers Insurance
METHOD OF PAYMENT (Please read each note carefully and choose one of the following methods):
US$ Check/Bank Draft/Money Order - payable at US banks in the US only (others may be returned to sender)
Japanese yen ¥ Check/Bank Draft - payable at Japanese banks in Japan only (others may be returned to sender)
Credit Card - The Secretariat will contact you to acquire further information. Please note that Japanese yen dues shall apply to payment by credit cards.
Bank Wire Transfer - Please make sure that remitting bank's handling charges are paid by the remitter him/herself to The Bank of Yokohama, Shinbashi Branch (SWIFT Code: HAMAJPJT), A/C No. 1018885 (ordinary account) Nihon Seimei Shinbashi Bldg. 6F, 1-18-16 Shinbashi, Minato-ku, Tokyo 105-0004, Japan