ILP Sedimentary Basin 2015 Tokyo

ONLINE REGISTRATION FORM

Please complete the form below and send it to

The Registration Office will process your registration.

After you complete on-line registration, a reply email will be sent to your registered email address within few days.

If not received,please contact the registration office:

■Registration (Deadline: Aug 7, 2015) * must be filled out

ParticipantCategory*

□Students □Universities and Research Institutes □Companies

Title* Prof. Dr. Mr. Ms.

First Name*

Family Name*

Gender* Male Female

Nationality*

Affiliation*

E-mail*

Mailing Address

Zip Code

Country*

Tel*

FAX

■Conference (Oct 5 to Oct 7, 2015)

Students: 10,000 JPY (approx. 80 €)

Universities and Research Institutes: 28,000 JPY (approx. 200 €)

Companies: 42,000 JPY (approx. 300 €)

■Post-symposium Field Excursion (Oct 8 to Oct 9, 2015)

Costs for the 2-day Field trip (including meals, 1-night accommodation) 42,000 JPY (approx. 300 €)(limited to 50 participants)

Excursion will be the geology of Izu collision zone, including a bus tour to Mt. Fuji.

Please check the box below.

○I would like to join the excursion.

○I will not join it.

■Letter of Invitation for VISA

Please check the bottom below, if you need a letter of invitation for VISA and other paper work.

○I need a letter of invitation

■Accommodation

We expect that accommodations near the venue will be booked so fastbecause Tokyo has become very popular for travellers and the conference dates are best periods for sightseeing.

Therefore, we strongly recommend reserving hotels through Tokyo Express International Co., Ltd. (TEI), who prepares for logistics of this conference, and offers almost 100 rooms near the venue at special rate. Please check the Hotel lists below, and check the button if you need reservations for rooms through TEI during your visit at Tokyo.

When you have questions about the hotels, please contact following agency: Ms. Setsuko MIYAZAKI (E-mail )

○I need reservations for rooms Deadline August 31, 2015

For your information, the hotel requests your credit card information (Credit card number & Expires date)

Hotel lists are:

  1. Daiichi Hotel Tokyo Seafort (same as the venue)：45 Rooms // One Room =22㎡

Single use per night 17,920 JPY

Twin use per person per person 11,340 JPY

(Including Buffet Breakfast, Service charge, Tax)

  1. Hotel Villa Fontaine 50 Rooms // One Bed Room=20㎡

Single use per night16,000 JPY

Twin use per person per person 9,000 JPY

(Including Small buffet breakfast, Service charge, Tax)

  1. Remm HIBIYA 30 Rooms // One Bed Room=15㎡(Shower only)

Single use per night 12,844 JPY (10/4 & 10/5)

Single use per night 17,164 JPY (10/6 & 10/7 & 10/9)

(Including breakfast, Service charge, Tax)

■Board for Vegetarian only

Please check if you prefer to vegetarian food for lunch during the conference

○ I prefer to vegetarian foodfor lunch during the conference

■Emergency medical care in Japan

Emergency medical care in Japan is very expensive. We therefore very strongly recommend that you purchase traveler's health insurance before coming Japan.

■Special request