CBI Member -Student- (JPY 2,000)

--- For overseas participants only ---
Please fill in the following information then click the [Register] button.
The payment will be limited to credit card only (VISA,MASTER,JCB,AME,DINERS).
 General Information:
*Name  
in English: *First Name
*Last Name
in Chinese(kanji) characters (if applicable)

  Job title
*Affiliation
 Address:
*Zip code Japanese Zip Code only (null for other countries)
 (e.g.226-8693)
*Address
 Country
*Tel
  Fax
*E-mail
>>*Re-enter