ICQoL-2016        August 19 – 21, 2016

 Conference Registration for ICQoL-2016

Personal Information

The following information allows us to match your registration with your paypal payment. Therefore, to prevent delays or errors in processing your registration, please ensure the information is accurate, and that it matches or includes relevant information associated with your paypal account.

Items marked in orange are REQUIRED.

Your Name (required):
First/Given Name:
Surname/Family Name:

Title (required)
 Mr. Ms. Mrs. Dr. Prof. Dr./Prof.   (other)

Email (required)

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Fax Number including a country code

Affiliation (Name of University, Institution, Company, etc.)

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Conference Information

Check which Apply (required):
Membership status:
 As4QoL Member Non-member
and Educational status:
 Student Non-student

If you are a student please attach a copy of your student identification in jpg, jpeg, gif, png, or pdf format (up to 2 megabytes).

Dietary Preference
 None Halal Vegetarian

Type of Presentation (please submit abstract here. Also note we are no longer accepting poster presentations.)
 Oral None

Have you already submitted your abstract?
 Yes No

If so, please give the title, so me may verify it has been received:

Would you be interesting in participating in the following off-session events if they were offered:
 Kyoto Heritage Tour Music, Maiko, and Garden Dining

Additional Message you wish to add to help us process your registration:

Registration Information

Select Type of Registration:

The choices offered below are for registration with one abstract. If you are submitting multiple abstracts by the same author, there is a reduced price for subsequent abstracts. Please check "ICQOL-2016 Multiple Abstracts" and use the submit button for "Payment by Other Means". In addition contact us to arrange correct payment.

(required)

---ICQOL2016 Registration Nonmember - 35000ICQOL2016 Registration Member - 30000ICQOL2016 Registration Student nonmember - 25000ICQOL2016 Registration Student member - 20000Multiple Abstracts - 0

Confirmation (required)
I affirm that the information above information is correct.

Note that payments may not be refundable. Please see our FAQ page for our full refund policy.

Pay via Paypal

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After clicking the button, your registration information from this form will be submitted to us, and then this page will be redirected to Paypal for you to complete the registration payment process. If this does not occur, or if you have any other problems, please contact intconf@as4qol.org.

Pay via other means, or submit payment for more than one abstract

If you are not paying via Paypal, click this button:

If you wish to pay via Japanese Post Office Transfer, please see this page for instructions.

Please contact us at intconf@as4qol.org to arrange payment by other means.

Your registration is not complete until we receive payment.