The 10th PASREG 2017 Registration form
Please fill out all fields marked with '*'.
*Title: Prof.   Dr.   Mr.   Ms.
*Family Name:
 Middle Initial:
 *First Name:
*Institution:
*Address:
*Zip Code: *Country:
*Phone: Country Code  Phone Number
  		 Fax: Country Code  Fax Number
  
*E-Mail:

Accompanying Person(s) if any
1.
Family Name:
 Middle Initial:
 First Name:
2.
Family Name:
 Middle Initial:
 First Name:

Registration Fee (Payments can be made by Japanese yen , U.S dollars. or Euro)
(All participants) ¥ 20,000 $ 200 Euro 170
(Students) ¥ 10,000 $ 100 Euro 85
We do not accept credit cards. Please pay the registration fee in cash at the registration desk on site.　The registration desk will be open from am8:00 - pm8:00 on December 11 and am8:00 - pm7:00 on December 12.

After completing this form, please click [submit] button.


If you don't make registration, go back to Top page.