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2nd Pacific Rim Cancer Biostatistics Workshop

Oct. 12-13, 2017. Kanazawa, JAPAN

Registration Form

Participation is free!

After filling out the following form, please click "Confirm" to submit it.
Fields marked with an * are required.

Name and Affiliation
* Title
* Name First(Given)
,
Middle
,
Last
 
* Use capitals only for initial letters.      (e.g. Albert, Einstein)
* Name as it would appear on a badge   
* Affiliation   
* Department   
Abbreviation of affiliation   
Postal Address and E-mail
* Contact    
* Address 1
(Street No., Bldg. Name)
  
* Address 2
(City/Town)
  
* Address 3
(State/Province/Prefecture)
  
* Zip Code   
* Country   
* E-mail   
  (Confirmation)
  
* Phone  + 
Fax  + 
Lunch / Workshop Dinner
Lunch (Oct. 12)

Fee: 2,000 (JPY)
NOTE: Fees (only cash) collected on the spot. This will be closed as soon as the number reaches the limit.
Workshop Dinner (Oct. 12, evening)

Welcome All to the Workshop Dinner!!!


KKR Hotel Kanazawa (2-32 Otemachi, Kanazawa-shi, Ishikawa, Japan)
Fee: 5,000 (JPY)
Costume: informal
NOTE: Fees (only cash) collected on the spot. This will be closed as soon as the number reaches the limit.
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