Request edit access
EAC 2026 Fukuoka: Pre-registration for In-Person Payment
If you have difficulty paying via bank transfer and wish to pay at the Venue (Cash in JPY only), please complete this pre-registration. This information will be used for the participants' list and your name tag.
Sign in to Google to save your progress. Learn more
Full Name / 氏名 *
Affiliation / 所属機関 *
Registration Category / 参加区分
*
Expected Date of Payment at the Venue/会場での支払い予定日 *
Total Amount to be Paid / 支払予定合計金額
*
Acknowledgement of Cash Payment / 現金(日本円)支払いの確認
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report