CYGNUS2013 Registration Form

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First name *

Family name *

Title *

Nationality *

Affiliation/Institute *

Postal address *

For shipping proceedings

Contact e-mail address *

Please enter e-mail address again *

Hotel reservation? (Only for oversea participants)

If you need, LOC manage your room reservation at CANAL PARK HOTEL. Deadline: March 31.

Yes

Clear selection

For hotel reservation

If you selected "Yes" above. Single room (w/o breakfast): About 6000Yen/night

Jun9

Jun10

Jun11

Jun12

Jun13

Arrival

Departure

Clear selection

Talk title

Deadline: May 17

Talk abstract

up to300 words

Attend workshop dinner (June 10) ? *

Yes

Attend Kamioka tour? *

Yes

Any request for CYGNUS2013

Please confirm. *

This is the last chance to modify

Confirmed all the above items are OK.

Required

Submit

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