DAN JAPAN Membership Application Form

※DAN Japan will inform you about the payment of Membership fee after checking the contents of this form.

Step 1:Specify Membership Type

5,000Yen/Year: Member
5,000Yen/Year: Instructor Member

Step 2: Giver's Contact Information

DAN does not share your personal information with anyone.

First / Last
Male /Female
(MM/DD/YY)
(XXX-XXX-XXXX)
(ex: PADI , NAUI , SSI ・・・・)

※ DAN Memberships are not activated until confirmation of valid payment has been received.