Registration for SmartCom2017
Email address *
Prefix *
If you do not select it, please select ``-''.
First Name (Given Name) *
Your answer
Last Name (Family Name) *
Your answer
Nationality (Country) *
Your answer
Organization *
Your answer
Department *
Your answer
Postal Mail Address *
Your answer
Are you full time student? *
Full time students include the student with a side job.
Role of SmartCom2017 *
Required
If you are Presenter or Co-Author, please give title of paper or poster.
Your answer
I will participate in workshop on 23 (Monday) Oct. *
I will participate in workshop on 24 (Tuesday) Oct. *
I will participate in Banquet on 23(Monday) Oct. *
(UPDATED!!!) Banquet fee on Oct. 23 is ****included*** in the registration fee.
Special Request for Meal (ex vegetarian, vegan, and so on)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of 信州大学. Report Abuse - Terms of Service - Additional Terms