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EIC Join
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EIC Join

To become a EIC card member, please till in the boxes provided below. After confirming your membership via e-MAIL, we will send your new card whithin a few weeks.
Title: Surname:
First name: Middle name:
Date of Birth: (Day) / (Year)
Sex: MaleFemale
E-mail Address:
*Type again for confirmation.
BUSINESS INFORMATION (please fill in the boxes provided below)
Company Name:
Title/Position:
Address:
(Company)
City: State:
Zip Code: Country:
Telephone
Number:
Fax Number:
HOME ADDRESS
Address:
(Home)
City: State:
Zip Code: Country:
Telephone
Number:
Fax Number:
Preferred
mailing address:
Business address Home address
I prefer when possible
Smoking room:
Yes No
Room in:
Higher floor Lower floor
SPECIAL MESSAGE or REQUEST
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Keio Plaza Hotel Tokyo, 2-2-1 Nishi-Shinjuku, Shinjuku-Ku, Tokyo 160-8330 Japan Tel: +81 3 3344 0111 Fax: +81 3 3345 8269 Copyright 2003 Keio Plaza Hotel Co.,Ltd.All Rights Reserved SUMMIT Partner Airlines