Request for Issurance of a Letter of Introduction to an Affiliated Club

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Request for Issuance of a Letter of Introduction to an Affiliated Club

(This form is only to apply for a Letter of Introduction. Reservation requests should be sent directly to the relevant club.)

TO: Membership Department, International House of Japan

FROM:
Membership No.:
Name: (required)
E-mail address: (required)

Please issue a Letter of Introduction as below and send it to the club with cc to me.

1. Name of the Affiliated Club

(Please choose from the pulldown list.)
—Please choose an option—Australian Club, Melbourne, AustraliaBangkok Club, Bangkok, ThailandCapital Club Dubai, Dubai, UAECornell Club, New York, U.S.A.Cosmos Club, Washington D.C., U.S.A.India International Centre, New Dehli, IndiaIndus Club, Mumbai, IndiaInternational Club Berlin, GermanyNational Liberal Club, London, U.K.Reform Club, London, U.K.Tanglin Club, SingaporeUnion Club of Boston, Boston, U.S.A.University House, Canberra, Australia

2. Details of Accommodation Reservation

Check-in date: —Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember—Please choose an option—1st2nd3rd4th5th6th7th8th9th10th11th12th13th14th15th16th17th18th19th20th21st22nd23rd24th25th26th27th28th29th30th31st ,

Check-out date: —Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember—Please choose an option—1st2nd3rd4th5th6th7th8th9th10th11th12th13th14th15th16th17th18th19th20th21st22nd23rd24th25th26th27th28th29th30th31st ,

Guest Name: SELF

Name of Accompanying Person:

Confirmation Number：　

3. Details of Restaurant Reservation
(for Cosmos Club, Cornell Club, and Reform Club only)

Date: —Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember—Please choose an option—1st2nd3rd4th5th6th7th8th9th10th11th12th13th14th15th16th17th18th19th20th21st22nd23rd24th25th26th27th28th29th30th31st , / Time: —Please choose an option—7891011121314151617181920 : —Please choose an option—0030

Reservation Name: SELF

Name of Accompanying Person:

Remarks:

Example: during the stay from month/day to month/day

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