EcoDesign'99 Registration Form

Pre-Registration Deadline:
December 15, 1998
Fill in the form and fax or e-mail to EcoDesign'99:
Fax +81-3-5814-1459
E-mail van@bcasj.or.jp
Name: ,
(Family Name) , (First Name) (Middle Initial)
Title: Prof. Dr. Mr. Ms
Affiliation:
Address:
Country: Zip Code:
E-mail:
Telephone: Fax:

Registration Fees
Registration Fees Early Registration
until Dec.15,'98		 Onsite Registration
after Dec.16,'98
Conference: check in
Member*
Non-Member
Student (excludes Party)
Party for Student
¥45,000-
¥50,000-
¥5,000-
¥5,000-
¥50,000-
¥55,000-
¥10,000-
¥5,000-
Tutorial:
¥10,000-
¥10,000-
Total: ¥ ¥
*sponsored societies and IEEE'members

Remittance
Remittance:
Bank Check enclosed (payable to EcoDesign '99)
Bank Transfer on from
Credit Card**:
Amex
Visa
Master (UC)
Diners

Card Number: ____________________________________
**If you want use credit card, please use FAX for this information.
Expiry Date:

EcoDesign'99 HomePage

(C)1999-2001  Sec, EcoDesign
Web assistance: Business Center for Academic Societies Japan
Contact to WebAdministrator
Last modified on 1999/07/08 13:59 JST