ICBTT 2002 REGISTRATION FORM
Fax or Mail to: ICBTT2002, The Kyoto University Museum, Kyoto University, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501, Japan
Fax: +81-75-753-3277
| Participant: | [ | ] Prof. | [ | ] Dr. | [ | ] Mr. | [ | ] Ms. |
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| (Family Name) | (First Name) | (Middle Names) |
| Mailing Address: | [ | ] Office | [ | ] Home | |
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| (Full details of affiliation) |
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| (Street) | (City, State and Zip Code) | (Country) |
| Phone/Fax (include country and area code): |
| Registration Fee (includes Saturday welcome reception, coffee breaks, Sunday banquet and a copy of proceedings): |
| [ | ] 25,000 Yen (Registrant for the 2002 Annual Meeting, T & S Division, JSME on Oct. 19th) |
| [ | ] 30,000 Yen (Member of JSME* and Speaker) |
| [ | ] 40,000 Yen (Non-member of JSME) |
| [ | ] 10,000 Yen (Student member of JSME and Student speaker)** |
| [ | ] 15,000 Yen (Student non-member of JSME)** |
| [ | ] 0 Yen (Accompanying person(s)) |
| | *: A member of supporting societies is treated as a member of JSME. |
| | **: This fee does not contain a copy of proceedings. |
| Technical Tour Fee: |
| [ | ] 5,000 Yen |
| TOTAL AMOUNT: ( | | ) Yen (Registration Fee + Technical Tour Fee) |
| [ | ] | I have paid ( | | ) Yen directly to [ICBTT2002, Sohei Shiroshita] at MIZUHO Bank, Hyakumanben branch, |
| | Account No.2312633 in Japanese currency through (Name of Bank) ( | ) |
| | on (Date) ( | ) (Name of depositor) ( | ). |
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