Workshop on
FFAG Synchrotrons

Registration

First Name

Last Name

Affiliation

Mailing Address

Postal(Zip) Code

Country

Telephone

FAX

Email Address

I would like to give a contributed talk on the subject
Title :

----or I don't give a talk.

Note: Registration fee will be approximately 10,000 yen.

Accommodation

Date of Arrival

Date of Departure

Please check the appropriate.:

• Single (with bath) 1010 yen/person 1 night:
  
• Single (without bath) 740 yen/person 1 night :
  

Note: Price includes service charge and tax'(5%)
Check-in 15:00, Check-out 10:00

Note: If you want to reserve a room in a hotel outside of KEK,
Please make contact with the workshop office.