Hotel for Foreign Participants in DEIMS12

Tokyo Garden Palace
Yushima 1-7-5, Bunkyo-ku,
Tokyo, 113-0034, Japan
Phone +81-3-3813-6211
http://www.hotelgp-tokyo.com/english/map01_e.html


RESERVATION FORM

Please complete all fields and send it by e-mail to:
    deims12-office@gaea.jcn.nihon-u.ac.jp
by Jan. 9, 2012. After receiving your request, we will send a confirmation e-mail within a few days. If you do not receive the confirmation we would kindly ask you to inform us of it as soon as possible.
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ACCOMMODATION DETAILS - Standard Accommodation Plan -

Room Type: 
Please indicate number of rooms required. 

Single:
(5,000 JPY per night)

Twin:
(10,000 JPY per night)


Number of Persons:

Date of Arrival (dd/mm/yy):

Estimated Time of Arrival:

Date of Departure (dd/mm/yy):

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PERSONAL DETAILS

First Name:

Last Name:

Postal Address:


Country:

Zip/Postal Code:

E-mail:

Phone:

Fax:

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COMMENTS:






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