This is the Online Pre-Registration Form of the APASL STC on 2019 in Tokyo.

Pease fill in this form and send to the congress secretariat by clicking the submission button at the end of the form.

Personal Information

Reuse of Personal Information

Registration Fee Category

(Membership No. MN- )
If you have any accompanying person, please check follows.

Payment Method

Please select your payment way by Credit Card or Bank Transfer.
Please fill in your credit card information below.

(Please input 3-digit number or 4-digit number (Amex) number printed on the back of the card.)

Please make payment of the amount of your registration fee to the following bank account.

Bank Account Information in English

Bank Name: Mizuho Bank
Branch Name: Shinjuku Branch (Branch No. 240)
Type of Account: Normal
Account Number: 2516758
Account Name: APASL STC Tokyo

Bank Account Information in Japanese

銀行名: みずほ銀行
支店名: 新宿支店(店番240)
口座の種類: 普通預金  口座番号 :  2516758
口座名義: APASLシングルトピックカンファレンス東京
フリガナ: APASLシングルトピツクカンフアレンストウキョウ

*Please fill in the date you have made (or going to make) bank transfer.

Payment completion is required until 2 weeks after online registration.

The confirmation of registration will be sent after the payment has been confirmed.

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