US$
300
(For 2 days) US$
150 (For 1 day) *Registration and
payment made by June 30, 2008
US$
400
(For 2 days) US$
200 (For 1 day) *Registration and
payment after July 1, 2008
For student age over 18 US$ 200
(For 2days) For student age 6-17
US$100(for 2days)
WABC Welcome Dinner
(Nov 21, 2008)
US$
100
*Conference and Welcome dinner for children under 6 Free
Please
provide all the family member’s full names and the age of children at the time
of travel.
NOTE: Be sure
the name you
include
is your FULL LEGAL
NAME. This must be the
name that
appears on your passport.
Number of family members attending ____
Number of children
Name
1
_________________________________________________________________________________________
Title
(Mr.
/ Mrs.
/ Miss)
First (Given)
Middle
Last (Family)
Participation:
_Full
Conference
Participating only by the day:
_Fri.
Nov. 21
_Sat.
Nov.22
_Welcome
Dinner($100)
Name
2 _________________________________________________________________________________________
Title
(Mr.
/ Mrs.
/ Miss)
First (Given)
Middle
Last
(Family)
Participation:
_Full
Conference
Participating only by the day:
_Fri.
Nov. 21
_Sat.
Nov.22
_Welcome
Dinner($100)
Age of your child(ren) at the time of traveling
Mailing
Address
City
__________________________________ State/Province
_____________________ Zip/Postal
Code ______________
Phone
_______________________________
Email
If you
wish to make a presentation(US$50.00) at WABC
Payment
-
Where to send registration form
l Those who don’t require travel assistance and only need to register and make payment for WABC Japan, please contact Nobuko Saito Cleary by email at nobuko.saito@gmail.com
WABC registration ONLY
Payment by check should be sent to:
Nobuko Saito Cleary
26410 Silent Hills Ln, Los Altos
Hills, CA 94022 U.S.A.
Payment by credit card
should be sent to:
Nippon Express Travel USA, INC:
Credit Cards (VISA, MasterCard,
American Express), Checks, Bank Wires and Money Orders payable in $US currency,
will be the only accepted forms of payment for Registration
and travel cost. Please send check or
money order for the full amount, payable to
Nippon Express Travel
USA, INC. 8
__VISA
__MasterCard
__American Express
Credit
Card # ___________________________________________
Expiration Date
___________
Cardholder
Billing Address
Accommodations & Travel
Please contact for
individual travel cost to Nippon Express Travel USA.
Those who need to book flight, accommodations and other travel assistance,
please send your registration form by email at
khasuo@nipponexpresstravel.us
or fax at 415-986-4780 to Nippon Express Travel USA.
Total Payment for travel cost should be sent to Nippon Express Travel USA.
Cancellation and Refunds:
l
For WABC
The registration fee and welcome dinner fee are non- refundable.
Important Note:
Registration forms and full payment must be sent together.
Space is limited, please register
early.
.