Discount rate room reservation form

Fill your registration # in the box. You can find it in registration confirmation e-mail from secretariat followed by your registration.
Registration #
Name
Gender male　　 female
E-mail address
Room preference

How many nights?　 3　 4　 5　 6　nights
starting date　　　　 June/23th　 June/24th 　 June/25th

Please select your room preference.
　 non-smoking　 smoking
　 twin　 triple 　 quad 　 quint　 triple or more

　Name of your room mate
　　Write his/her name & age if he/she is child.
　　Write his/her name & registration # if he/she is registrant.

Would you like secretariat to arrange for other attendees to share room with you?
　 yes 　 no
receipt 領収書発行 no need 不要　 need 必要　payee 宛名
Comments

After a few days, you receive a confirmation e-mail.
If you do not receive it, please contact with .

The reservation of your room should be finalized till the beginning of May. We e-mail you the total expense including fees for registration, meal coupons and the room expense by then. Pay it by bank transfer or PayPal before May 7th. We accept your cancellation only before May 24th.