Membership application

To apply for membership at WAGRI, please send the application form together with with your information entered into the form below.

* We will announce the original submission address separately.
* Please download the application form linked below. Then, fill it out, sign it and send it to us as a PDF file.

  • Information entry screen
  • Confirmation screen
  • The form has been sent

Please click the "confirm" button after entering each item.

Application for membership(required)
Your name(required)
Your phone number(required)  
Your e-mail address(required)  
Confirm E-mail address(required)
Your company name(required)
Your company name(required)
Your department name
official position
Your postal address(required)
We will only use the information you provide to give you information and to provide you with information about the council’s promotion activities.For detail of how we handle personal information, please check out “Handling personal information submitted through the Web form.