Tokyo American Club | Tokyo American Club

Please complete this application form in its entirety in English only.

Please input all required fields (*) to proceed to the next page.

Membership type: *

Please choose a membership type

More information about membership types here.

Category *

Please choose a category

Category: *

Please choose a category

Have you been a Tokyo American Club Member before?

Yes
No

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Membership no:

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Resignation date:

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Click year to edit

Senior/emeritus membership transfer: parent's name:

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Senior/emeritus membership transfer: membership no:

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Personal Information

First name: *

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Middle name:

Please input data to proceed

Last name: *

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Gender: *

Female
Male

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Home address in Japan

Address Line 1: *

Please input data to proceed

Ex. Homat House #105

Address Line 2: *

Please input data to proceed

2-1-2 Azabudai

City (Ward):

Invalid Input

Minato-ku

Prefecture: *

Please input data to proceed

Tokyo

Postal/Zip: *

Please input data to proceed
Format should be: XXX-XXXX

106-8848

Home tel:

Please include phone number with hyphens.

03-4588-0687

Cell: *

Please include phone number with hyphens.

03-4588-0687

LinkedIn Profile:

Home e-mail: *

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Nationality: *

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Date of birth: *

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Click year to edit

English ability: *

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Years resident in the United States:”: *

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Years resident in other primarily English-speaking countries: *

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Education

Highest Education Completed

Name of school: *

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School location: *

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Graduation year: *

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Degree: *

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Couple Membership

Family Membership

Please supply the information below only if you are applying for Couple/Family membership.

Spouse first name: *

Please input data to proceed

Spouse middle name:

Please input data to proceed

Spouse last name: *

Please input data to proceed

Spouse gender: *

Female
Male

Please input data to proceed

Spouse nationality: *

Please input data to proceed

Spouse date of birth: *

Please input data to proceed

Spouse e-mail: *

Please input data to proceed

Spouse cell no.: *

Please include phone number with hyphens.

03-4588-0687

Do you have children?

Yes
No

Please input data to proceed

Child first name:

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Child middle name:

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Child last name:

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Gender: *

Female
Male

Please input data to proceed

Child date of birth:

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Child nationality:

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Do you have another child?

Yes
No

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Child first name:

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Child middle name:

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Child last name:

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Gender: *

Female
Male

Please input data to proceed

Child date of birth:

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Child nationality:

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Do you have another child?

Yes
No

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Child first name:

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Child middle name:

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Child last name:

Invalid Input

Gender: *

Female
Male

Invalid Input

Child date of birth:

Invalid Input

Child nationality:

Invalid Input

Do you have another child?

Yes
No

Invalid Input

Child first name:

Invalid Input

Child middle name:

Invalid Input

Child last name:

Invalid Input

Gender: *

Female
Male

Invalid Input

Child date of birth:

Invalid Input

Child nationality:

Invalid Input

Do you have another child?

Yes
No

Invalid Input

Child first name:

Invalid Input

Child middle name:

Invalid Input

Child last name:

Invalid Input

Child date of birth:

Invalid Input

Gender: *

Female
Male

Invalid Input

Child nationality:

Invalid Input

Current Employment Information

Name of current company: *

Please input data to proceed

Position (and lengh of time in current position): *

Please input data to proceed

Type of business: *

Please input data to proceed

Please specify business type:

Invalid Input

Business address in Japan

Address Line 1: *

Please input data to proceed

Tokyo American Club Building 3F

Address Line 2:

Invalid Input

1-2-1 Azabudai

City (Ward):

Invalid Input

Minato-ku

Prefecture: *

Please input data to proceed

Tokyo

Postal/Zip: *

Please input data to proceed
Format should be: XXX-XXXX

106-8800

Business tel: *

Please include phone number with hyphens.

03-4588-0687

Business e-mail: *

Please input data to proceed

Business URL: *

03-4588-0687

Employment History

Previous Company

Company name: *

Please input data to proceed

Company location: *

Please input data to proceed

Started employment: *

Please input data to proceed

Ended employment: *

Please input data to proceed

Position: *

Please input data to proceed

Personal

Other clubs and association memberships or community service and volunteer leadership:

Invalid Input

Do you or anyone covered under this application have body markings or tattoos? *

Yes
No

Please input data to proceed

The presence of a body marking or tattoo does not imply any negative or positive impact on a prospective Member’s application.

Please state name of person with tattoo: *

Please input data to proceed

How did you find out about Tokyo American Club? *

Please input data to proceed

Please specify how you found out about the Club?

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Why do you want to join the Club? Please check all that apply.

Business activities

Dining outlets

Event, meeting and catering service

Family activities

Recreation and fitness facilities

Socializing and networking

Other

Please input data to proceed

Why join the club (other)

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Billing and Mailing Information

Mailing address for Club magazine: *

Home
Business
Not required

Please input data to proceed

Preferred e-mail address for communications: *

Please input data to proceed

This e-mail address will be used for all Club communications and monthly statements

Personal Statement

Please complete each of the sections below to supplement your responses on the previous page. Please make sure to write in full sentences.

Business and Personal Background
Highlight any aspects of your business and personal background that you wish to emphasize for us to consider. How do you feel that your background aligns with those of the Club’s membership and how can Club members benefit from your inclusion in our community? If you are currently unemployed or retired, please include a statement addressing your ability to meet your financial obligations as a Member.

*

Please input data to proceed

Interests
Highlight your interests and which Club facilities and activities are of most interest to you. Also, explain how you intend to immerse yourself in the Club community, through use of Club facilities, participation in Club activities or serving on Club committees.

*

Please input data to proceed

Motivation
Share why you want to join Tokyo American Club. Do you wish to join primarily for business reasons or personal reasons? If you have resided in Japan for awhile and just recently decided to join the Club, explain the reasons for deciding to join now.

*

Please input data to proceed

Additional Factors
Share any additional factors we should consider in your application that you feel would enhance your chances to be accepted as a Member of Tokyo American Club.

*

Please input data to proceed

Our Community
What do you feel is the main difference between being a member of a private members’ club and a public facility? Please also share your thoughts on who constitutes our community at the Tokyo American Club.

*

Please input data to proceed

Company Transfer Membership

Replacing Member Name

First name:

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Last Name:

Invalid Input

Membership no:

Invalid Input

Please fill in full membership number (ie. 00000-00)

Checklist

To complete your online application, please submit the following to the Membership Office.

Recommendation by Proposer

Recommendation by Seconder

Diners Club Card Registration Form

Passport copy for Applicant, Spouse and children if applicable

Residence card with current address

Marriage certificate (if applying for couple)

Invalid Input

Please download and complete the Diners Club card application:
Diners Club Registration Form You will receive links to share with your Proposer and Seconder in the application confirmation email.

To complete your online application, please submit the following to the Membership Office.

Recommendation by Proposer

Recommendation by Seconder

Passport copy for Applicant, Spouse (if applying for Couple)

Marriage Certificate or Jyuminhyo for proof of relationship (if applying for Couple)

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Comments:

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Please let us know any other information here.

*

I certify that all the statements made in this application are true to the best of my knowledge and, if I am elected to the Membership, I and anyone within my application pledge to abide by the Club Articles of Association, General Rules, House Rules, and any other applicable regulations and policies and that I and anyone within my application may be subject to disciplinary action for any violation thereof.

I certify that neither I nor anyone within my application have been convicted of any crimes or pled guilty or nolo contendere (no contest) to any crimes in Japan or elsewhere.

I certify that, to the best of my knowledge, neither I nor anyone within my application has ever had any dealings with any organized crime group or with persons related to any organized crime group.

I certify that I will keep the Club informed of any change of status regarding the information provided in this application.

I hereby give my consent to a full background check by the Club.

Invalid Input

I agree with the above statements.

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Wine & Dining

Events & Parties

Fitness & Recreation

Contact

	Membership Requirements Members of Tokyo American Club shall be of good character, financial standing, and reputation. Tokyo American Club is a private members’ club. It is also a community, owned and governed by the Members, through a Board of Governors and various committees and task forces, for the benefit of the Members. We are looking for applicants who can contribute to our international community. I. Qualified applicants must submit a completed application form and two completed recommendation forms from existing Members (Proposer and Seconder). The responses in your application should highlight your qualifications under the standards of "good character, financial standing and reputation". A Proposer and Seconder must be Resident, Company Transferable, Term Regular or Senior/Emeritus Members in good standing for more than one year. Please choose your Proposer and Seconder carefully, as their recommendations will be an integral part of your application. In particular, please make sure that you have a meaningful relationship with your Proposer/Seconder, as we will consider not only the length of time the Proposer/Seconder has known you, but the nature of your relationship and the details of the recommendation from your Proposer/Seconder as we evaluate your application. II. Qualified applicants are required to attend an interview reception with members of the Board of Governors and the Membership Committee and an orientation. III. Acceptance to the Club is subject to the Membership Committee’s review. Final approval of any application shall be by resolution of the Board of Governors.

	Please complete this application form in its entirety in English only. Please input all required fields (*) to proceed to the next page.
Membership type: *	Please choose a membership type	More information about membership types here.
Category *	Please choose a category
Category: *	Please choose a category
Have you been a Tokyo American Club Member before?	Yes No Please input data to proceed
Membership no:	Please input data to proceed
Resignation date:	Please input data to proceed	Click year to edit
Senior/emeritus membership transfer: parent's name:	Please input data to proceed
Senior/emeritus membership transfer: membership no:	Please input data to proceed
	Personal Information
First name: *	Please input data to proceed
Middle name:	Please input data to proceed
Last name: *	Please input data to proceed
Gender: *	Female Male Please input data to proceed
	Home address in Japan
Address Line 1: *	Please input data to proceed	Ex. Homat House #105
Address Line 2: *	Please input data to proceed	2-1-2 Azabudai
City (Ward):	Invalid Input	Minato-ku
Prefecture: *	Please input data to proceed	Tokyo
Postal/Zip: *	Please input data to proceed Format should be: XXX-XXXX	106-8848
Home tel:	Please include phone number with hyphens.	03-4588-0687
Cell: *	Please include phone number with hyphens.	03-4588-0687
LinkedIn Profile:
Home e-mail: *	Please input data to proceed
Nationality: *	Please input data to proceed
Date of birth: *	Please input data to proceed	Click year to edit
English ability: *	Please input data to proceed
Years resident in the United States:”: *	Please input data to proceed
Years resident in other primarily English-speaking countries: *	Please input data to proceed
	Education
	Highest Education Completed
Name of school: *	Please input data to proceed
School location: *	Please input data to proceed
Graduation year: *	Please input data to proceed
Degree: *	Please input data to proceed
	Couple Membership
	Family Membership
	Please supply the information below only if you are applying for Couple/Family membership.
Spouse first name: *	Please input data to proceed
Spouse middle name:	Please input data to proceed
Spouse last name: *	Please input data to proceed
Spouse gender: *	Female Male Please input data to proceed
Spouse nationality: *	Please input data to proceed
Spouse date of birth: *	Please input data to proceed
Spouse e-mail: *	Please input data to proceed
Spouse cell no.: *	Please include phone number with hyphens.	03-4588-0687
Do you have children?	Yes No Please input data to proceed
Child first name:	Invalid Input
Child middle name:	Invalid Input
Child last name:	Invalid Input
Gender: *	Female Male Please input data to proceed
Child date of birth:	Invalid Input
Child nationality:	Invalid Input
Do you have another child?	Yes No Invalid Input
Child first name:	Invalid Input
Child middle name:	Invalid Input
Child last name:	Invalid Input
Gender: *	Female Male Please input data to proceed
Child date of birth:	Invalid Input
Child nationality:	Invalid Input
Do you have another child?	Yes No Invalid Input
Child first name:	Invalid Input
Child middle name:	Invalid Input
Child last name:	Invalid Input
Gender: *	Female Male Invalid Input
Child date of birth:	Invalid Input
Child nationality:	Invalid Input
Do you have another child?	Yes No Invalid Input
Child first name:	Invalid Input
Child middle name:	Invalid Input
Child last name:	Invalid Input
Gender: *	Female Male Invalid Input
Child date of birth:	Invalid Input
Child nationality:	Invalid Input
Do you have another child?	Yes No Invalid Input
Child first name:	Invalid Input
Child middle name:	Invalid Input
Child last name:	Invalid Input
Child date of birth:	Invalid Input
Gender: *	Female Male Invalid Input
Child nationality:	Invalid Input
	Current Employment Information
Name of current company: *	Please input data to proceed
Position (and lengh of time in current position): *	Please input data to proceed
Type of business: *	Please input data to proceed
Please specify business type:	Invalid Input
	Business address in Japan
Address Line 1: *	Please input data to proceed	Tokyo American Club Building 3F
Address Line 2:	Invalid Input	1-2-1 Azabudai
City (Ward):	Invalid Input	Minato-ku
Prefecture: *	Please input data to proceed	Tokyo
Postal/Zip: *	Please input data to proceed Format should be: XXX-XXXX	106-8800
Business tel: *	Please include phone number with hyphens.	03-4588-0687
Business e-mail: *	Please input data to proceed
Business URL: *		03-4588-0687
	Employment History
	Previous Company
Company name: *	Please input data to proceed
Company location: *	Please input data to proceed
Started employment: *	Please input data to proceed
Ended employment: *	Please input data to proceed
Position: *	Please input data to proceed
	Personal
Other clubs and association memberships or community service and volunteer leadership:	Invalid Input
Do you or anyone covered under this application have body markings or tattoos? *	Yes No Please input data to proceed	The presence of a body marking or tattoo does not imply any negative or positive impact on a prospective Member’s application.
Please state name of person with tattoo: *	Please input data to proceed
How did you find out about Tokyo American Club? *	Please input data to proceed
Please specify how you found out about the Club?	Invalid Input
Why do you want to join the Club? Please check all that apply.	Business activities Dining outlets Event, meeting and catering service Family activities Recreation and fitness facilities Socializing and networking Other Please input data to proceed
Why join the club (other)	Invalid Input
	Billing and Mailing Information
Mailing address for Club magazine: *	Home Business Not required Please input data to proceed
Preferred e-mail address for communications: *	Please input data to proceed	This e-mail address will be used for all Club communications and monthly statements
	Personal Statement Please complete each of the sections below to supplement your responses on the previous page. Please make sure to write in full sentences.
	Business and Personal Background Highlight any aspects of your business and personal background that you wish to emphasize for us to consider. How do you feel that your background aligns with those of the Club’s membership and how can Club members benefit from your inclusion in our community? If you are currently unemployed or retired, please include a statement addressing your ability to meet your financial obligations as a Member.
*	Please input data to proceed
	Interests Highlight your interests and which Club facilities and activities are of most interest to you. Also, explain how you intend to immerse yourself in the Club community, through use of Club facilities, participation in Club activities or serving on Club committees.
*	Please input data to proceed
	Motivation Share why you want to join Tokyo American Club. Do you wish to join primarily for business reasons or personal reasons? If you have resided in Japan for awhile and just recently decided to join the Club, explain the reasons for deciding to join now.
*	Please input data to proceed
	Additional Factors Share any additional factors we should consider in your application that you feel would enhance your chances to be accepted as a Member of Tokyo American Club.
*	Please input data to proceed
	Our Community What do you feel is the main difference between being a member of a private members’ club and a public facility? Please also share your thoughts on who constitutes our community at the Tokyo American Club.
*	Please input data to proceed
	Company Transfer Membership
	Replacing Member Name
First name:	Invalid Input
Last Name:	Invalid Input
Membership no:	Invalid Input	Please fill in full membership number (ie. 00000-00)
	Checklist
To complete your online application, please submit the following to the Membership Office.	Recommendation by Proposer Recommendation by Seconder Diners Club Card Registration Form Passport copy for Applicant, Spouse and children if applicable Residence card with current address Marriage certificate (if applying for couple) Invalid Input	Please download and complete the Diners Club card application: Diners Club Registration Form You will receive links to share with your Proposer and Seconder in the application confirmation email.
To complete your online application, please submit the following to the Membership Office.	Recommendation by Proposer Recommendation by Seconder Passport copy for Applicant, Spouse (if applying for Couple) Marriage Certificate or Jyuminhyo for proof of relationship (if applying for Couple) Invalid Input
Comments:	Invalid Input	Please let us know any other information here.
*	I certify that all the statements made in this application are true to the best of my knowledge and, if I am elected to the Membership, I and anyone within my application pledge to abide by the Club Articles of Association, General Rules, House Rules, and any other applicable regulations and policies and that I and anyone within my application may be subject to disciplinary action for any violation thereof. I certify that neither I nor anyone within my application have been convicted of any crimes or pled guilty or nolo contendere (no contest) to any crimes in Japan or elsewhere. I certify that, to the best of my knowledge, neither I nor anyone within my application has ever had any dealings with any organized crime group or with persons related to any organized crime group. I certify that I will keep the Club informed of any change of status regarding the information provided in this application. I hereby give my consent to a full background check by the Club. Invalid Input
	I agree with the above statements. Invalid Input

	Photo Upload Please submit a forward-facing color photograph (.jpg) with plain background taken in the last 6 months for Club ID.
Upload Your Photo: *	Invalid Input
Upload Your Spouse Photo:	Invalid Input
Upload child (1) photo:	Invalid Input
Upload child (2) photo:	Invalid Input
Upload child (3) photo:	Invalid Input
Upload child (4) photo:	Invalid Input
Upload child (5) photo:	Invalid Input
Upload copy of passport:	Invalid Input
Upload copy of spouse passport:	Invalid Input
Upload Marriage Certificate or Jyuminhyo:	Invalid Input
Enter the letters you see: *	Refresh Invalid Input