Registration Information

 ・To make a presentation at PAAL conference, you must be a regular member of PAAL.
 
 ・To be a regular member of PAAL, please fill in the blanks about your information
   below, and submit it to the PAAL Japan office by clicking the "submit" button.
 
 ・Annual membership fee of PAAL: Regular:¥5,000 Student:\3,500
 
 ・Our fiscal year is from Apr 1 to Mar 31 of the next year.
 

Name (First)  (Family)
Sex   Male   Female
Membership   Regular   Student
Specialty  
 
Affiliation

Name

Dept.
Postal Code
Address

Telephone Number
FAX Number
 

Home

E-Mail Address
Postal Code
Address

Telephone Number ( ex. 03-5286-1558 )
Mobile Number ( ex. 090-****-**** )

PAAL JAPAN


PAAL JAPAN Office