1st Asian ICMC and CSSJ 50th Anniversary Conference
Nov.07-10, 2016, Kanazawa

ACCOMMODATION REQUEST FORM
Last Name  
First Name
Gender Male    Female
Phone
e-mail  
Accompanying Person
Name
Gender Male    Female
Age
Hotel Name
Check in
Check out
No. of Night Night(s)
Room Type Single Room   Twin or Double Room Triple Room
Breakfast need     do not need
Comment