REGISTRATION FORM
MIE BIOFORUM 2003
Biotechnology of Lignocellulose Degradation and Biomass Utilization
YAMAHA RESORT NEMUNOSATO Ise-Shima, Japan
November 10-14, 2003
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Title(select one):
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Name:
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(First) (Initial) (Last) |
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Company or Institution:
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student:
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yes/ no
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Address:
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Tel:
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Fax:
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E-mali:
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Name(s) of Accompaying Person(s):
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I am an invited speaker. yesno
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I wish to present oral. yes no |
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The title of my presentation is: |
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I wish to present a poster. yes no |
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The title of my poster is:
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I wish to participate in the symposium: yes no
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Registration fees:
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(includes extended abstracts and published book of proceedings) |
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Delegate
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¥ 30,000 yen (before July 31)
[¥ 40,000 yen (after August 1)]
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Student
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¥ 15,000 yen (before July 31)
[¥ 20,000 yen (after August 1)]
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Accomodation fees:
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(YAMAHA RESORT NEMUNOSATO) |
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* delegate + no. of accompanyingn person(s) |
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single ¥ 70,000 x *person(s) yen |
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double ¥ 60,000 x *person(s) yen |
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Camper's Hostel** ¥ 40,000**
**Available for use by students
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I wish to share a room with:
an accompanying person: Name
another participant: Name
Organizing committee will assign a roommate to you unless you specify above. |
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Registration fee and Accomodation fee: Total yen |
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Payment type
VISA
MasterCard
Direct bank transfer
If payment is made by credit card, please complete and return the "CONTRACT" along with this form to Professor Kunio Ohmiya.
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If your payment is made by credit card,
please download CONTRACT from here.
 CONTRACT(PDF format)______ CONTRACT(WORD format)
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This form should be sent, with prepayment, by September 30, 2003, to:
Professor Kunio Ohmiya
Applied Microbiology, Faculty of Bioresources, Mie University
1515 Kamihama-cho, Tsu 514-8507, Japan.
Fax :81-59-231-9684
E-mail:onishi@bio.mie-u.ac.jp
(You can registrate through our web site,too. Even in this case, please send us the "CONTRACT" if payment is made by credit card.) |
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