Misasa2019 & Core-Mantle Coevolution registration form

This form will submit your registration information to LOC.
Please fill following fields, and then press Submit button at bottom.



At least, fill *-indicated fields.
Name *First name:
Middle name:
*Last name:
Affiliation *Affiliation:
E-mail address *E-mail address:
E-mail address *Confirmation:
Position
Address Street:
City/town:
State/province:
Country:
ZIP/Postal code:
Core Mantle
Coevolution
member?
Arriving date

*Select

Leaving date

*Select

Accommodation Do you need hotel accommodation?

We reserved rooms in Kurayoshi City Hotel (5 minutes walk from
Kurayoshi JR station).
Single room with breakfast: 7300 yen (per night)
Single room without breakfast: 6500 yen (per night)
Note that booking is first come, first served basis.
Pick-up bus to the conference site is available (morning and evening).

Write any request regarding hotel accommodation
Lunch box Lunch box (800 yen) is available during the meeting.
Check if you want to reserve them.




Banquet Do you like to attend the banquet?

We will invite you to the banquet to be held in 19th evening
at Blanc Art Misasa.
Registration fee for the banquet is 8,000 yen.
Presentation
preference
Check one:
Which session for
your presentation

title of
presentation
Requests or
questions
to LOC


If you have any troubles for the submission, please contact to here.