IMHPJ 2019 Conference Registration Form
is the registration form for the 2019 IMHPJ Annual Conference. Key information:

Sponsor: International Mental Health Professionals of Japan (IMHPJ).

Dates: Friday, March 22nd~Sunday, March 24th, 2019.

Location: The Wesley Center:

Wesley Center 301
6-10-11, Minami Aoyama, Minato-ku, Tokyo, 107-0062, Japan

Costs: The cost structure is as follows*:

IMHPJ Members (early bird): ¥15,000
Non-Members (early bird): ¥20,000
IMHPJ Members (regular): ¥20,000
Non-Members (regular): ¥25,000
Students: ¥15,000

The last day for early bird is 2/28/19.

Please make the payment to the below account:

A. From Post Office (aka Yucho Bank):
Symbol (記号) : 10260
Number (番号):94737711
Name: アイエムエイチピージェー 
(IMHPJ in Katakana or Romaji)

B. From Other Banks:
Branch Name (店名) :〇二八(028, Zero-Ni-Hachi)
Branch Number (店番) : 028
Account type(預金種目): Futsuu Yokin (普通預金)
Account #(口座番号): 9473771
Name: アイエムエイチピージェー 
(IMHPJ in Katakana or Romaji)

Registration: Please register using this form and you will receive a confirmation email within 10 days. Please contact us with any questions about the event here:

Deadline: You can register anytime before the conference, however please note the early bird price deadline above.
IMHPJ 2019 Annual Conference Registration
My name (first and last) is: *
My preferred email is: *
My telephone number *
I am applying as: *
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