Application Form for YNSA Seminar
Oct. 26. - Oct. 30. 1998
The YNSA Seminar on the above date is seperate from the "ICMART 98" Congress and the fee for participation has to be paid seperately.
Your place will be secured only, if a copy of your remittance has been received with this application.

Name: .......................................................................
Title: .......................................................................
Adress: .......................................................................
Tel: .......................................................................
Fax: .......................................................................

The fee for the 5 days YNSA Seminar is:...600... US $

Payable to:
Dresdner Bank
Unter Sachsenhausen, 5000 Koeln- 1, Germany
Toshikatsu Yamamoto, AC.NR. 475 911 400

If you are a participant of the ICMART' 98 Congress, would you like
* to stay in the same Hotel in the City during the YNSA Seminar [...] or
* would you prefer a Hotel nearer to the Clinic [...] (it takes about 30 min. by bus from the city)

Date of Hotel Check in ..................... Check out .....................

Single Room
[...]		 Twin Room
[...]		 Japanese style Room
[...]		 Number of persons per Room
[...]

A Japanese style Room can be occupied by up to 4 persons and is a little cheaper.

The Seminar will be from 9.00 AM till l7.00 PM. Snacks and a light lunch will be provided

There will only be 30 participants accepted on a first come - first serve basis


  • Invitation
    		•
  • Committees
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  • Programme
    		•
  • The Host City
  • Registration
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  • Fees
    		•
  • Hotels
    		•
  • YNSA Seminar
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