ICBTT 2006 REGISTRATION FORM FOR PARTICIPATION
Name:
Affiliation:
(Name)
(Location)
Mailing Address:
(Name)
(Location)
| Contact Tel: | Contact Fax: |
| Contact E-mail: |
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Registration Fee (includes a copy of proceedings, Saturday banquet and Technical tour):
|
| [ | ] 30,000 Yen (Member of JSME and Speaker) |
| [ | ] 40,000 Yen (Non-member of JSME) |
| [ | ] 15,000 Yen (Student member of JSME and Student speaker) |
| [ | ] 20,000 Yen (Stuendt non-member of JSME) |
| [ | ] 0 Yen (Accompanying person(s)) |
| | Note: A memberf of supporting societies is treated as a member of JSME. |
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| I have paid ( | | )Yen directly to |
[ICBTT2006, Sohei Shiroshita] at MIZUHO Bank, Demachi branch (587), Account No.2469419]
in Japanese currency through
|