APNOMS'98 Registration Form

Please Print All Information

First (given) Name                                                 Last (family/surname) Name                                                      

Title of position                                                     Company/Organization Name

Street                                                                    City                                                         State                    

Postal Code                                                         Country                                                      

Phone Number                                                     Fax Number                                                

E-mail Address                                                     

Guest (given) Name                                             Guest (family/surname) Name

 
Payment Methods:
Bank Transfer:

I will remit / have remitted the registration fee on (date) ,                                   1998 by bank transfer
from my bank to the following:

Account No: 1901716
Account Holder: APNOMS
Name of Bank: The Dai-ichi Kangyo Bank, Kinugasa-Branch, Japan

Note: All the remittance must be received by 31st August, 1998.

Credit Card:

Charge to my:               VISA                         MasterCard
Card Number: □□□□-□□□□-□□□□-□□□□

Expiration Date (Month/Year)         /                              

Signature                                                                 Date (Day/Month/Year)            /           /

 
On-site (Only cash payment will be accepted) :
I will pay the registration fee at the symposium.

 
CANCELLATION POLICY: No cancellations after 31st August, 1998. Cancellation on (or prior to)
31st August, 1998 will be charged 10,000 Japanese Yen for Regular Fee Registration.
 

Registration Fees:
                                                          Before 31st Aug. 1998         After 31st Aug. 1998
Regular Fee                                      40,000 Yen                        50,000 Yen
Student Fee (in Japan)                     5,000 Yen                          5,000 Yen
Student Fee (outside of Japan)        Free                                    Free
Extra Proceedings                            10,000 Yen                        10,000 Yen
Extra Banquet Ticket per Guest       5,000 Yen                           5,000 Yen

Total Amount:                                                  Yen
Send Completed Form by Fax to:
Mr. Nori IKEUCHI, APNOMS'98 Finance
Networking Laboratory, NTT Multimedia Networks Laboratories
1-1 Hikarinooka, Yokosuka-Shi, Kanagawa 239-0847 Japan
(Tel: +81-468-59-2249; Fax: +81-468-59-3729)
(E-mail: ikeuchi@nttmhs.tnl.ntt.co.jp)
We will send a confirmation form within one week of receipt of your registration.
 
Hotel Accommodations
 
The conference will be held in Sendai, Japan at Sendai Tokyu Hotel, which is located on the downtown of Sendai and ten-minute walk from Sendai Station. The hotel is also easily accessible via bus, or taxi from the station. Attendees are responsible for making their own hotel arrangements. To make a room reservation, simply send a FAX to the hotel. Be sure to mention APNOMS'98 in the FAX in order to receive the special rates listed below. Please note these rates are applicable until 8/31. After 8/31, the prevailing rate will be applied for each room.

 
Sendai Tokyu Hotel
Address: Sendai Tokyu Hotel, 2-9-25, Ichi-ban-cho, Aoba-ku,
                  Sendai-city, Miyagi, 980-0811 Japan
Tel: +81-22-262-2411    Fax: +81-22-262-4109

 

Room Type
Rate*
Single
10,000 Yen per night
Twin (1 person)
13,000 Yen per night
Twin (2 persons)
16,000 Yen per night
* The rates shown above include tax and service charge.