SPICA Science Conference 2013 Payment form

E-mail address used for the registration:

Conference fee will be automatically given in the next page.
I will only pay for banquet (I've already paid conference fee).

Banquet (June 20th, 19:00-21:00 @ Chinzan-sou)

Number of person(s)
(10,500 JPN (incl. Tax) per person, childs of age 12 or younger are free.)
If you pay for two or more persons, please provide their names in the comment box.

Other payment
Please give a value in case you are specifically asked by the organizing committee.

JPN

Comment (e.g., in case you will pay for others)