Tokyo-2001: Scanning Probe Microscopy, Sensors, and Nanostructures
May 27-31, 2001 SII Hall (Seiko Instruments Inc.), Makuhari, Chiba, Japan

Conference Registration Form
(Please use one sheet / person.)

Please send this form by Air Mail or FAX to : 
	Prof. Masamichi FUJIHIRA
	Department of Biomolecular Engineering
	Tokyo Institute of Technology
	4259 Nagatsuta, Midori-ku
	Yokohama 226-8501, Japan
	Fax. 81-45-924-5817
		Do not use E-mail for security!

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Registration Fee
	Before April 20th, 2001 	After April 21st, 2001
Regular	20,000 yen	25,000 yen
Student/Post-doc	10,000 yen	15,000 yen

Payment
	(  ) By bank transfer: I remitted           yen from                 Bank. 
		Remit to	Tokyo Mitsubishi Bank, Aobadai Branch
		Account: 0595149	Account Name: Tokyo2001
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