Registration Form for Participants from Overseas

The organizing committee of 27ISHC Congress is committed to protecting the personal information of the applicants. Your personal information will be collected via this form only when you make a registration for the 27ISHC Congress. Without an applicant's consent, we will not use such information for the purposes other than operating and managing the Congress.

Please input necessary information.

(*) indicates required field

Please Fill in
Title (*)	Dr. / Mr. / Ms.
Name (*)	[First, (Middle Initial), Last]
Job Title (*)
Affiliation (*)
Address (*)
Phone(*)
E-mail(*)

Registration Fee (*)		Early January 1- July 5, 2019	Late July, 6- July 31, 2019	On-site September 1-6, 2019
Regular	Member of ISHC	JPY 50,000	JPY 55,000	JPY 70,000
Regular	Non-member of ISHC	JPY 60,000	JPY 65,000	JPY 70,000
Student/Post-doc	Member of ISHC	JPY 18,000	JPY 20,000	JPY 25,000
Student/Post-doc	Non-member of ISHC	JPY 23,000	JPY 25,000	JPY 25,000
Banquet (September 5, 2019)		JPY 12,000		Not available

＜Payment Method＞
Credit-card payment is only available for participants from overseas.