7th international symposium for
subsurface microbiology
(ISSM2008)
November 16 - 21
Shizuoka Convention & Art Center "GRANSHIP"
Registration Form

Note: Please fill in with English one byte characters. Full size (two-byte) characters are not accepted.
  Columns with * must be completed.
PARTICIPANT
*Title Mr. Ms. Dr. Prof.  
*Name *First Name Middle Name
*Family Name
*Institute/Organization
* e.g.) The University of Tokyo
Department/Division
* e.g.) Department of Electrical Engineering
Mailing Address office home
*Address
*Postal code
*Country
*Phone Number * e.g.) +81-00-111-2222
Fax Number * e.g.) +81-00-111-2222
*E-mail Address

Registration Fee (JPY) On or After August 1, 2008
Registration

Presentation

Hotel Accommodation
First Choice
Second Choice
Check-in / out Check-in   Check-out
Accompanying Person Registration fee of the accompanying person is free except extra charges such as symposium dinner and excursions.
Name First Name Middle Name
Family Name
Address

Excursion

Banquet

Method of Payment
Payment Type Online credit card payment

Remarks

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