East Asia Sub-Regional Conference 2019 & The 2nd Asia-Pacific Young Symposium 2019 Registration Form
Dates: 30 November - 2 December 2019

Please complete the form below and click 'SUBMIT' at the end.
Email address *
Participating Event
Please choose the event you are participating (some programs crossover) *
Personal Information
Participant Name *
Telephone *
Country and Economy of Residence *
Emergency Contact (e.g. Name & Phone Number)  *
BPW Affiliate (e.g. BPW Japan - Tokyo Club) *
BPW Position *
Accommodation and Dietary Requirements
Accommodation for NWEC *
If you have a specific person to share the room with, please mention the name at the end of this form. Please be aware that we may not be able to accommodate all requests.
Sex (for accommodation purposes) *
Dietary Requirements (if you have any)
If you have selected "Others", please specify at the end of this form.
Attending Programs
Please tick all programs that you are attending (all included in your registration fee).

(Caution) The hotel on the first night must be reserved individually. Not included in the registration fee.
Please note that Optional Tour for Kawagoe(Day 4) is not included in the registration fee and is subject to the number of interests.
Travel Information
Please let us know your travel plan if you know already.
Arrival Date (e.g. Nov 30)
Arrival Flight Number 
Arriving Airport
Clear selection
Departing Date (e.g. Dec 3)
Departing Flight Number
Departing Airport Name
Clear selection
Comments
Please specify your preferred roommate, dietary requirements, or let us know of any comments/concerns you may have.
Payment
Please wait for further contact from the organization team.
We will be in touch with you individually within 7 days of registration.
Questions to ?
Please contact: e-asia@bpw-japan.jp
A copy of your responses will be emailed to the address you provided.
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