Registration Form WOOD 2000 KYOTO |
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[ ]Mr. [ ]Mrs. [ ]Ms. | ||||
First name: | ||||
Last name: | ||||
Title: | ||||
Organization/Company: | ||||
Mailing address: [ ]Home [ ]Business | ||||
Country: | ||||
Telephone: | ||||
Fax: | ||||
E-mail: | ||||
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Please check one: [ ] I will register for the Meeting and give an oral presentation. [ ] I will register for the Meeting and give a poster presentation. [ ] I will register for the Meeting but give no presentation. |
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(if giving a presentation) Paper title: Authors' names: |
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I will [ ] I will not [ ] attend the Banquet on Tuesday evening, April 4. | ||||
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Registration and Banquet Fees | ||||
Registration fee: Banquet fee: Total: |
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JPY JPY JPY |
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Please check one: [ ] I will pay the fees in cash at the reception desk of the Meeting. [ ] Please bill my VISA: |
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Card No.: | ||||
Exp. Date: | ||||
Signature: | ||||
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If paying by credit card, please send this form by fax. | ||||
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