| Q 1 |
First Name ※ |
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| Q 2 |
Last Name ※ |
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| Q 3 |
Sex ※ |
|
| Q 4 |
Email Address ※ |
|
| Q 5 |
Organization ※ |
|
| Q 6 |
Department |
|
| Q 7 |
Position Title |
|
| Q 8 |
Postal or Zip Code |
|
| Q 9 |
Postal Address |
|
| Q 10 |
Country ※ |
|
| Q 11 |
Contact Phone Number (include country code) |
|
| Q 12 |
Contact Fax Number (include country code) |
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| Q 13 |
Will you attend an opening reception? ※ |
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| Q 14 |
Will your accompanying person, if any, attend an opening reception? |
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| Q 15 |
Do you join in excursion? ※ |
|
| Q 16 |
Name of your accompanying person, if any. |
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| Q 17 |
Does your accompanying person join in excursion? |
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| Q 18 |
Do you want us to reserve your accommodations? ※
(Accommodation Fee should be paid at your own expense) |
|
| Q 19 |
Comments if any |
|