================= Registration and Accommodation form ==================

1) Name (title, first & family names) : _______________________________

2) Affiliation :_____________________________________________________
   
3) Postal Address : ___________________________________________________

                    ___________________________________________________

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4) Email address : ____________________________________________________

5) Phone number : _____________________________________________________

6) Fax number : _______________________________________________________

8) Tentative title (for invited speakers) :
 
   ____________________________________________________________________

9) Do you need financial support? (Yes / No) : _______________________
   (Please apply the financial support only if you have absolutely no support.)
   If "Yes", we need information about your home address and your job-rank in
   the Japanese university system.
 
   ____________________________________________________________________

10) Accommodation request:
    preferred room type: a) single
                         b) shared
    check in date:
    check out date:
    special request:
    meal request:   date          breakfast      lunch      dinner
                    9/20                                      y/n
                    9/21             y/n          y/n         y/n
                    9/22             y/n          y/n         y/n
                    9/23             y/n          y/n         y/n
                    9/24             y/n          y/n         y/n
                    9/25             y/n          

11) Would you like to give a contributed talk ? (Yes / No) : _______________
    If yes, please provide

    Title:    ___________________________________________________

    Abstract: ___________________________________________________

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              ___________________________________________________

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