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 *
Your answer
Telephone *
Your answer
Country and Economy of Residence *
Your answer
Emergency Contact (e.g. Name & Phone Number)  *
Your answer
BPW Affiliate (e.g. BPW Japan - Tokyo Club) *
Your answer
BPW Position *
Your answer
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)
Your answer
Arrival Flight Number 
Your answer
Arriving Airport
Departing Date (e.g. Dec 3)
Your answer
Departing Flight Number
Your answer
Departing Airport Name
Comments
Please specify your preferred roommate, dietary requirements, or let us know of any comments/concerns you may have.
Your answer
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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