CASC 2009 Registration Form

(This registration form has to be filled out for each individual participant!)

Male/Female:
(mandatory)

Mr. Ms.

Title:
(optional)

Dr. Prof.

First name:
(mandatory)

Last name:
(mandatory)

Citizenship:
(mandatory)

Affiliation:
(mandatory)

E-mail:
(mandatory)

Phone:
(mandatory)

Fax:
(mandatory)

Address:
(mandatory)

Conference
fee:
(mandatory)

The registration fee covers attendance of the talks, the proceedings, conference material, refreshments at the conference, the banquet, and the excursion.
Please note that the registration fee does not cover lunches nor any costs for accomodation/hotel.

	Early Registration	Late Registration
	(no later than August 23)	(after August 23)
Regular	30,000 JPY	35,000 JPY
Student	20,000 JPY	23,000 JPY
Accompanying person	16,000 JPY	17,000 JPY
Accompanying person (with dinner and excursion only)	10,000 JPY	10,000 JPY
Partner society (JSSAC/JSIAM/IEICE members)		32,000 JPY
Partner student (JSSAC/JSIAM/IEICE members)		21,000 JPY

Arrival/
Departure:

I will arrive in Kobe on and leave on

Payment:

All participants must pay the registration fee at arrival in Kobe in cash (Japanese YEN).

Remarks/
Notes: