Registration Form for JCCGG 2009

Please fill the following and submit.

[Note] Please pay all fees at reception desk in cash (Japanese yen). We will not be able to accept any credit cards.

Title First name Middle name Last name
Affiliation
Address 1 (Street)
Address 2 (City, ZIP-code)
Address 3 (Country)
TEL FAX
E-mail

Are you a student?: Yes No

If you want to order extra banquet ticket(s), please select:
We note that registration fee includes one banquet ticket, the price of one extra ticket is 10000 yen (please pay it at reception desk with your registration fee by cash in Japanese yen), and the banquet is planned on November 12 (Thu).


Last modified: Thu Aug 6 21:23:27 JST 2009
by Ryuhei Uehara (uehara@jaist.ac.jp)
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