October 28 - 31, 2019, Sun City, South Africa
[Red asterisks (*) denote required information.]
If you prefer to register by e-mail, please refer to the following URL:https://www.iere.jp/events/forum/2019-southafrica/register.html
Name (*)
Professor Dr. Mr. Ms. Other
Position & Department
Company/Organization, etc (*)
Address
(*)
Contact Info
I will contribute to a presentation (*)
Yes: Please write title of your Presentation below Title of Presentation
No
Registration Fee (*)
Welcome Reception Attendance (*)(Not Mandatory) [Oct. 28]
Official Dinner Attendance (*)(Not Mandatory) [Oct. 29]
Safari Tour (*)(Optional) [Oct. 31]
Payment Amount(*)
Total: USD (Registration Fee & Safari Tour)
Payment Method (*)
Credit Card URL for On-line Credit Card Payment : https://www.iere.jp/Payment/paypal_19GM.html Bank Transfer *IERE Central Office will send you the invoice by e-mail.
Invitation Letter for VISA (*)
I need invitation letter for Visa application.
*Please submit the `Format 5' of the 1st Announcement to IERE Central Office by e-mail by Sept. 27, 2019.(details: https://www.iere.jp/events/forum/2019-southafrica/register.html)
Information from IERE (*)
Do you agree with receiving e-mail notices on future activities from IERE Central Office? Yes No
Personal Data (*)
Do you agree to disclose your personal data for the participants list of this forum? Yes No Central Office may enclose `Participants list¡Çin the conference bag to facilitate communication among participants. The list will contain 1. Name, 2.Position, Department, 3.Company/ Organization etc., 4.E-mail address, 5. Country/ Region of this format.