振込連絡フォーム
Payment Notification Form
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Email *
振込日 (Date of payment) *
発表者の大会参加費支払期限は 2021年8月31日です.参加者(非発表者)の大会参加費支払い期限は,2021年9月19日です.
MM
/
DD
/
YYYY
振込依頼人名 (Applicant's name) *
振込総額(Deposit amount) *
参加者名(Name of attendee) *
支払内訳(Billing details) *
Required
2人目の参加者名:複数名分をまとめて振り込んだ場合(Name of second attendee if you and your colleague made payment together )
2人目の支払内訳(Billing details)
3人目の参加者名:複数名分をまとめて振り込んだ場合(Name of third attendee if you and your colleague made payment together )
3人目の支払内訳(Billing details)
事務局への連絡事項 (Leave messages to the office if you have)
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