Member
Application form
ULI Japan Spring Conference 2017
JP8212-1712
Nihonbashi Mitsui Hall May 18 (Thursday), 2017
Thank you for your interest in attending ULI Japan Spring Conference 2017. To register, please fill
out this registration form and send it to ULI Japan via fax (03-5297-6133) or e-mail
([email protected]).
Name:
Mr.
Ms.
Organization:
E-mail:
Tel:
Please select the category:
Early Bird Rates
CATEGORY/CURRENCY
Registered and
paid for by
Friday, March 31
Private
Public
Under 35
Student (Fulltime)
USD
JPY
200
150
150
100
23,000
17,000
17,000
12,000
USD
JPY
300
200
200
150
35,000
23,000
23,000
17,000
Normal Rates
Registered and paid
for between
Saturday, April 1 Friday, May 12
CATEGORY/CURRENCY
Private
Public
Under 35
Student (Fulltime)
Please select the payment option:
Payment by Bank Transfer (yen only)
We will send you an invoice with payment instructions. Please select the preferred invoice type–
Original
PDF
Payment by Credit Card (U.S. Dollars only)
Please provide the credit card information below:
Credit card—
Cardholder name:
Card number:
VISA
MasterCard
Diners Club
American Express
Discover
Cardholder signature:
Expiration date:
Cancellations, which must be in writing to ULI Japan, will be subject to a US$100/11,500 yen administrative fee. No
refunds can be made after Thursday, May 11, 2017. You may, however, transfer your registration to another member of
your organization (If a member transfers registration to a non-member, the non-member fee will apply). The deadline for
conference registration is Friday, May 12, 2017.
I do not want my company name to appear on the list of Conference Attended Companies for public display.
I do not wish for a photo of mine to be displayed on ULI’s digital platform or used for its marketing purposes.