After filling out the following form, please click "Confirm" to register.
* are required to be filled.
| Name and Affiliation |
| * Title |
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| * Name |
* Only the first letter of names should be upper case (e. g. John Smith)
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| * Name as it would appear on badge |
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| * Affiliation |
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| Department |
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| Abbreviation of affiliation |
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| Postal Address and Email |
| * Contact |
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* Address 1
(Street No., Bldg. Name) |
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* Address 2
(City/Town) |
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* Address 3
(State/Province/Prefecture) |
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* Zip/Postal Code
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| * Country |
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| * Email address |
(Retype the Email address for verification.)
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* Phone
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+ e.g. 81-11-111-1111 |
Fax
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+ e.g. 81-11-111-2222 |
| Welcome and Farewell Party, Special Meal Requests |
| * Welcome and Farewell Party |
Planning to attend Welcome Party on July 25th
Planning to attend Farewell Party on July 28th
[Note]: This is to estimate the number of participants for each party. You can change your attendance later.
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| * Special Meal Requests |
Please specify your meal requests for lunch and the parties, if needed.
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| Hotel Reservation |
| * Hotel Reservation |
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person(s)
Name of accompanying person(s):
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| Date |
check-in
check-out
Total night(s): night(s)
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| Hotels |
Please select one from the following hotels.
1. Sunshine City Prince Hotel , [49] room(s) left
2. Hotel Resol Ikebukuro , [20] room(s) left
3. Tokyu Stay Ikebukuro , [20] room(s) left
4. Hotel Mystays Higashi Ikebukuro , [27] room(s) left
5. Centurion Hotel Ikebukuro
, [16] room(s) left
, [29] room(s) left
6. Ark Hotel Tokyo Ikebukuro , [20] room(s) left
7. Ikebukuro Royal Hotel , [50] room(s) left
8. Hotel Starplaza Ikebukuro , [19] room(s) left
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| Arrival Date in Tokyo |
2018,
(month),
(date)
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| Arrival Time in Tokyo |
(hour),
(minute)
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| Flight No. |
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For participants who reserved hotel rooms:
Gloria Eurex Co., Ltd. will send you a confirmation email in 10 business days to the email address that you register for the conference. If you do not receive any email from Gloria Eurex Co., Ltd., please contact the company at ispa2018tokyo@gloria-eurex.com
in English or Japanese. Also when you need to cancel or modify your hotel room reservation, please communicate with Gloria Eurex Co., Ltd. Regarding cancellation charges, please refer to the “Hotels” of the conference website or the confirmation mail from Gloria Eurex Co., Ltd.
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| Registration for ISPA 2018 Conference |
| |
Early Registration
（Before April 30, 2018, Japan time GMT+9) |
Late Registration
(From May 1 to July 28, 2018, Japan time GMT+9) |
| * Registration |
*Price in Euro might vary due to exchange rate adjustment.
|
*Price in Euro might vary due to exchange rate adjustment.
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| Accompanying Person(s) |
Fee:JPY 19,900(€150)/ person
*Price in Euro might vary due to exchange rate adjustment.
Accompanying person(s):
person(s)
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Fee:JPY23,900 (€180)/ person
*Price in Euro might vary due to exchange rate adjustment.
Accompanying person(s):
person(s)
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Name of accompanying person(s):
Planning to attend Welcome Party on July 25th
Planning to attend Farewell Party on July 28th
Do you have any meal request(s)?
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| Payment |
| Accommodation fee |
JPY [] room(s)
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| Registration fee |
JPY
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| Accompanying person(s) fee |
JPY
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| Total amount |
JPY
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| * Credit card |
 
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Please note that your credit card will be charged by our official credit card service provider called "CLEAR MEMBERS." The name "CLEAR MEMBERS," instead of The 40th ISPA Conference, will appear on your credit card statement. Please also note that it could take up to 10 days before the transaction being processed. |
| * Credit card number |
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-
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| * Security code |
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| * Expiration |
(MM/YYYY) |
| * Card holder's name |
(as it appears on the card) |
| Receipt |
| * Receipt |
To:
*Receipt will be given on site.
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