Registration Form｜The 35th Annual Meeting of the Japanese Society for Disability and Oral Health

会場周辺観光情報

Registration Form

Registration Form

After you complete the registration, notification e-mail(from jsdh35@kokuhoken.jp) will be sent to you automatically. Please print out the e-mail and bring it to the registratio desk on site.
The deadline for early registration is August 31(Fri).
All fields are required.

*First name
*Last name
*Name of Affiliation	ex. Kouku University Graduate School of Dentistry
*Div./Department	ex. Department of Special Needs Dentistry
*Country
*E-mail address
*E-mail address (for Confirmation)
*Participants classification	Dentist, Doctor(10,000JPY)　 Dentistry staff other than dentists(7,000JPY)
*Reception(Nov 17, 2018 18:00-20:00)	will attend(7,000JPY) will not attend

Please click the "Confirm" button and check your information carefully.

Registration fee should be paid on Site(November 16(Fri.)- 18(Sun.), 2018).
And, how to pay is limited to only cash(JPY).

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