Registration Form

(only for domestic students)

Please print out this form and send to : Satoshi Kawata,

Chair of NFO5 Department of Applied Physics Osaka

University, Suita,Osaka 565-0871, Japan

or fax to :+81-6-879-7876

Please use block letters or type


Name of Conferee:
( First name Middle name Surname)

_______________________________________

Title: ___________________________________

Institution: ______________________________

Full Address: ____________________________

______________________________________

Zip / Postal Code: ________________________

Country: _______________________________

Phone: ________________________________

Fax: __________________________________

E-mail: ________________________________
Accompanying person(s) name :

_____________________________________

____________________________________

1. Registration Fee

Registration fee includes admission to all technical
sessions,the welcome reception, conference digest,
light breakfasts, coffee breaks, lunches, and a copy
of the conference proceedings.

Until Oct. 6, 1998
Registration fee for conferee 10,000 yen
Registration fee accompanying person(s)

15,000 yen x ___ person(s) = _________ yen
Banquet

5,000 yen x ___ person(s) = _________ yen


After Oct.7, 1998
Registration fee for conferee 15,000 yen
Registration fee accompanying person(s)

15,000 yen x ___ person(s) = _________ yen
Banquet

5,000 yen x ___ person(s) = _________ yen


(A) Total amount: _______________ yen

2. Hotel Accommondation Fee

This discouted rate is available only for overseas visitors.
I will stay at Coganoi Bay Hotel on

Single 6 Dec. 7 Dec. 8 Dec. 9 Dec.

18,000 yen x __ nights x __ person(s) = ________ yen


Double 6 Dec. 7 Dec. 8 Dec. 9 Dec.

10,000 yen x __ nights x __ person(s) = _________ yen


Triple 6 Dec. 7 Dec. 8 Dec. 9 Dec.

6,000 yen x __ nights x __ person(s) = _________ yen

(B) Total amount: __________________ yen

There will be a very limited number of single-bed
rooms.These rooms will be assigned on a first-come,
first served basis. If single-bed rooms are not available,
please specify person's name with whom conferee wishes
to share a room:

__________________________________________

__________________________________________

3. Payment

I will remit the total fee of registration and
accomondation.

Total amount (A+B) : _______________ yen

on ____________________________________ (date)

through ___________________________ (bank name)

to:
住友銀行　豊中支店　NFO-5代表　　河田　聡

〒560-0021 　大阪府豊中市本町1-9-5

口座番号　（普）　1868942



Please send us a copy of the bank receipt for the
remittance to avoid any problems in bank transfer.
I will pay by credit card.

Total amount (A+B) : ________________ yen

Credit card type : VISA MasterCard

Credit card number : __________________________

Expiration date : _____________________________

4. Publication
I plan to submit a paper to the special issue of Journal of Microscopy.


*For any further question, please feel free to contact us at
nfo5@ap.eng.osaka-u.ac.jp