7th ACMCF Overseas Group Registration

1. Group Representative Information
1) Group / Institution Name

Please enter the name of your group, institution, hospital, facility, or organization.

2) Representative Name (Full Name)
Please enter the name of the person responsible for this group registration.
3) Representative Title
4) Representative Affiliation / Institution
5) Representative Department / Position
6) Country / Region
7) Representative E-mail Address
Please enter the representative’s e-mail address again for confirmation.
8) Representative Phone Number
Please include your country code.
2. Participant List
Please upload the completed participant list using the designated Excel template.
*Excel Template
https://app.box.com/s/ennwnt0b4p44v4maadssy1ylfg3icg0w

3. Participant List Upload
Please upload the completed participant list using the designated Excel template.
4. Payment Information
The registration fee is JPY 20,000 per person. The total amount will be calculated based on the number of participants.
Confirmation of Registration Fee
9) Payment Method
Please select your preferred payment method. Payment details will be provided by the Congress Secretariat after your registration.
*Please pay the registration fee at the registration desk on the day of the Congress.
*On-site payment must be made in Japanese yen.
*Please note that credit cards are not accepted for on-site payment.
10) Payment Arrangement
11) Name of Payer
Please enter the name of the person or organization making the payment.
*Expected Transfer Date
Please enter the expected date of bank transfer, if known.
5. Receipt Information
12) Receipt Preference
If you selected “Other,” please specify your request.
13) Name on Receipt
Please enter the name to be printed on the receipt.
If separate receipts are required for each participant, please enter the appropriate name in the “Name on Receipt” column of the Excel participant list.
6. Documents
13) Invitation Letters
Do any participants need invitation letters?
Please indicate the participants who need invitation letters in the participant list.
14) Certificates of Attendance
Do any participants need certificates of attendance?
Please indicate the participants who need certificates of attendance in the participant list.
7. Remarks
Please let us know if you have any special requests or questions regarding this group registration.