7th ACMCF Overseas Individual Registration
1. Basic Information
1) Title
1) Title
選択してください
Prof.
Dr.
Mr.
Ms.
2) Full Name
Please enter your full name in English.
2) Full Name
3) Affiliation / Institution
Please enter the name of your university, hospital, facility, or organization.
3) Affiliation / Institution
4) Department / Position
4) Department / Position
5) Country / Region
5) Country / Region
6) E-mail Address
Please enter your e-mail address again for confirmation.
6) E-mail Address
6) E-mail Addressの確認用
7) Phone Number
Please include your country code.
7) Phone Number
2. Registration Fee
The registration fee is JPY 20,000 per person.
Confirmation of Registration Fee
I understand that the registration fee is JPY 20,000 per person.
3. Payment Method
8) Payment Method
Please select your preferred payment method. Payment details will be provided by the Congress Secretariat after your registration.
On-site payment at the registration desk
Bank transfer
Name of Payer
Please enter the name of the person or organization making the bank transfer.
Name of Payer
Expected Transfer Date
Please enter the expected date of bank transfer, if known.
Expected Transfer Date
*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.
4. Documents
9) Invitation Letter
Do you need an invitation letter?
Yes
No
10) Certificates of Attendance
Do you need a certificate of attendance?
Yes
No
5. Remarks
Please let us know if you have any special requests or questions regarding this group registration.
Please let us know if you have any special requests or questions regarding this group registration.
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