Registration form for participants from outside Japan:

Please fill the following form and send it to
jg2010[at]ml.post.kek.jp.

------------------- cut here ---------------------------

Application to Japanese-German Workshop 2010,
         4(Thu) - 6(Sat) November 2010, Mishima, Japan. 


Surname/First Name: 

Affiliation:

Position (if student, grade): 

Telephone number: 

Fax number: 

E-mail address: 

Arrival date:

Departure date:

Do you want to stay at Hotel Massimo Mishima ? [yes/no]

If yes, which room do you want ?

(   ) single room (6900-7500 JPY)
(   ) double room (single use) (9000 JPY)
(   ) double room  (12000 JPY)
(   ) twin room     (single use) (12000 JPY)
(   ) twin room     (15000 JPY)


If you prefer a hotel other than Massimo Mishima,
please book by yourself, and inform us the name of hotel
after booking.

--------------------------------------------------------