| Prefix: |  | 
| First Name: |  | 
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| Conference to attend: | IEEE-ISAF 
	FMA 
	AMF 
	AMEC 
	PFM | 
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 | Registration Category: | Full (IEEE Member), 60,000 yen | 
	
 |  | Full (Non-Member), 70,000 yen | 
	
 |  | Student (IEEE Member), 37,000 yen | 
	
 |  | Student (Non-Member), 40,000 yen | 
	
 |  | IEEE Life Member, 37,000 yen | 
	
 |  | One day, 40,000 yen | 
	
 |  | Accompanied Person, 20,000 yen | 
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| IEEE member #: | necessary if you register as a member. | 
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| Conference Tour: | ticket(s), 5,000yen/ticket | 
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| Accompanied Program: | ticket(s),  10,000yen/ticket (This fare is included in the registration fee of accompanied person)
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| Total Payment: | 0 yen |