Registration and Hotel Reservation Form
Name:
Given name:
(Middle name:
)
Family name:
Title
(Prof., Dr., Mr., Ms., etc.)
Affiliation(s):
Address
(please include your affiliation and section, if necessary to make sure that mails can reach you
By this
office
/
home
address)
Postal address:
Zip code:
Country:
Phone:
Fax.:
E-mail:
Registration Fee
1
27,000yen (Member, paid by June 22)
1
30,000yen (Member, paid after June 23/on-site)
(Please check requirements for member in
our web site
.)
1
30,000yen (Non-member, paid by June 22)
1
33,000yen (Non-member, paid after June 23/on-site)
1
13,500yen (Student, paid by June 22)
1
15,000yen (Student, paid after June 23/on-site)
1
2
3
10,000yen (Accompany, paid by June 22)
1
2
3
13,000yen (Accompany, paid after June 23/on-site)
Hotel accommodation
Each room charge includes service charge & tax.
a) SENRI HANKYU HOTEL
Single: 9,800yen/night
Twin: 16,800yen/night
Sharing room with:
(8,400yen/night per person)
b) SUNNY STONE HOTEL
Single: 8,000yen/night
Twin: 12,600yen/night
Sharing room with:
(6,300yen/night per person)
c) HOTEL CONSORT
Single: 7,500yen/night
( Please select appropriate choice )
Check-in:
8/28
8/29
8/30
8/31
9/ 1
,Check-out:
8/30
8/31
9/ 1
9/ 2
9/ 3
Optional Tour
Tour fee: 12,000 yen X
1
2
3
4
Person(s)
Credit card
(recommended for overseas participants):
VISA
American Express
Master
JCB
Expiration date : month
1
2
3
4
5
6
7
8
9
10
11
12
year
2001
2002
2003
2004
2005
2006
2007
Name on credit card: