4th International Workshop on Medical Imaging and Augmented Reality Registration Form
ON-LINE Registration Form

MIAR2008
Registration
Normal after May 2, 2008
Full Delegate
JPY 55,000
Student
JPY 35,000

Others
Early bird until May 2. 2008
Extra Conference Banquet
JPY 10,000
Extra Conference Proceeding
JPY 8,000

PARTICIPANT'S INFORMATION

MAIR 2008 Paper Submission ID (if applicable, up to 2 IDs for each registration):

Dr. Professor. Mr. Mrs. Ms.
Family Name First Name Middle Name
Department and Institution:

Street Address:
City and State: Zip Code:

Country :

Phone: Fax:
*Please start from your country code. +(Country code) - (Phone/Fax Number)
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E-Mail:

I will be attending the conference banquet, August 1, 2008.
I require an invitation letter for visa purposes.
Payment information
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Please complete this form and SEND.
  

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