CAJLE2019 年次大会・懇親会登録フォーム
早割料金締め切り日:6月14日(金曜日)カナダ西部時間/ Deadline of discount Registration fee : June 14 (Fri)
早割料金ご希望の方は 上記の期日までにこのフォームをご送信ください。また、お支払い手続きは期日(6月14日、金曜日、カナダ西部時間)までにご完了ください。
The discount registration fee only applies to the form submitted by June 14 (Fri), Canada Pacific Time. We ask all participants to complete the payment process by the deadline (June 14, Fri, Canada Pacific Time).

Please note that the registration fee indicated here are all in Canadian dollars. Please pay the registration fee in Canadian dollar, when you pay.

Payment methods: Please choose the method from the list and pay the registration fee. We will contact you with necessary information, once we receive the form. Due to unforeseen circumstances, we are unable to use PayPal this time. We apologize any inconvenience it may cause.

Deadline for the online registration is July 26 (Fri).
We ask you to register early, as we have to limit the number of participants to 100 due to the capacity of the main venue.
If you need to cancel your registration, please inform us by July 26 (Fri).

Email address *
姓(漢字) Family Name(Kanji) : For English name, please write in Katakana. *
Your answer
名(漢字)First Name (Kanji) : For English name, please write in Katakana. *
Your answer
姓(英語・フランス語) Family Name in English or French *
Your answer
名(英語・フランス語)First Name in English or French *
Your answer
所属 Affiliation (英語でご記入ください。 Please write in English.) *
Your answer
国名 Country *
Your answer
職種 Status *
口頭・ポスター発表者ですか? Are you a presenter? *
CAJLEの会員ですか?  Are you a member of CAJLE? *
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