**** REGISTRATION FORM (for Japanese with a talk) ****

International Symposium on
Banach and Function Spaces 2012
参加申込書 （英・和ともご記入下さい）


Name:


氏名:


Address:


住所:


Institution:


所属:


Telephone:


Fax:


E-mail:


Registration type: Regular (18,000JPY) / Student etc. (9,000JPY)
どちらかを削除して下さい。


Number of accompanying persons:

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