EVS31 & EVTeC 2018

Registration Form
>> Registration Confirmation Payment Completion


   Please fill in the blanks and then click the "Confirm" button below.
   * Indicates required field.
Personal Information
Title *          
First/Given Name *
Last/Family Name *
Job Title
Affiliation *
Department

Address
Contact *     
Street *
e.g. 2 sanbancho
City/State *
e.g. Chiyodaku
State/Province *
e.g. Tokyo
Postal Code *
e.g. 102-0075
Country *


Phone * +
e.g. 81-3-3263-8695
FAX +
e.g. 81-3-3263-8693
E-mail Address*
 
Re-enter E-mail Address*

Registration Fees
(including tax)
Regular Tickets Early Bird
(Until 20 Aug 2018)
Advanced / Onsite
(After 21 Aug 2018)
Delegate JPY 55,000 JPY 60,000
Student JPY 3,000
Plenary Session JPY 20,000

(including tax)
Optional Tickets Fees Remarks
Technical Tour JPY 2,000 First-come-first-served basis
Capacity: 45 people
Gala Dinner JPY 5,000 First-come-first-served basis
Lunch JPY 1,500 A lunch box will be served. Please select non-vegetarian or vegetarian.
Guest JPY 20,000 Coverage: Gala Dinner & Welcome Reception
Only for Delegates/Students ticket buyers
Up to two tickets per person
Notice ●Payment can be made by accepted credit cards: Visa, MasterCard, JCB, Amex and Diners Club.
●If you present at Technical Session, please choose Delegate or Student.
●Students are required to submit an official letter or documentation for identification.
●Plenary Session Coverage: Opening & Closing Ceremonies, Guest Speech, Keynote Speech, and Panel Sessions


Regular Tickets
Category *         
Amount JPY

Method of Payment *    

Optional Tickets
Technical Tour Closed.
Gala Dinner
Lunch
If you would like to order vegetarian lunch box, please tick the box.
Guest


Dietary Comments

Guest
Guest 1 Title          
Given/First Name
Family/Last Name
Gala Dinner
Lunch
If you would like to order vegetarian lunch box, please tick the box. 

Guest 2 Title          
Given/First Name
Family/Last Name
Gala Dinner
Lunch
If you would like to order vegetarian lunch box, please tick the box. 

Letter of Invitation
Letter of Invitation
 
If you need to obtain Letter of Invitation, please tick the box.

Visa
Visa Questionnaire
 
If you need to obtain Japanese VISA to enter Japan, please refer to the e-mail message when you complete your registration.

Student's identification card
File upload
(Allowed extensions: gif, jpg, jpeg, png, pdf, doc, docx)
If you are a student, upload the image file of student's identification card.

Please check the form carefully and click the 'Confirm' button below.


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