HYP2004 REGISTRATION & HOTEL RESERVATION FORM (Invited)

Name Please check    Prof.    Dr.    Mr.    Ms.      sex   Male    Female
Family Name       Given Name 
Institution
Position
Mailing Address Please check    Office    Home

Country 
e-mail
Tel
Fax



Hotel Accommodations (LOC will properly arrange the hotel)
Room Type Number of rooms Check-in date Number of nights
Single   Twin  room(s) Sept.  , 2004  night(s)
If shared accommodation is required, please fill in your room partner's name:
Please check      Prof.      Dr.      Mr.      Ms.              sex     Male      Female
Family Name  Given Name 


Special Request, if any



I hereby understand and agree to the conditions set forth in this application form and circular.

Date:
Signature:

Send the form by fax (+81-6-6634-1185) or postal mail to HYP2004 Desk of Kinki Nippon Tourist.
Deadline : Aug. 13 (Fri.), 2004


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