Registration Form

Live Love Animals International Conference on Animal Care in KOBE　
How to Submit Your Application to Participate
1. First, complete the Form below and click on the ‘Send’ button.
2. You will shortly receive an auto-reply email from NPO Knots.
※If your application returns, or if you do not receive an auto-reply email, please send your name and all contact information (address, phone #) to Knots at: info@knots.or.jp
3. Please select your preferred payment method and pay the registration fee.
4. Only on confirmation of your payment will your application be complete. On completion you will be contacted by email. (Nb. Applications submitted without subsequent payment may be cancelled).

Live Love Animals International Conference on Animal Care in KOBE
Please complete all fields of the Application Form:

Last Name:

First Name:

Middle initial:

Title: Dr.　 Mr.　 Ms.　 Other

E-mail:

Parent / Guardian Last Name:
(incase of Schoolchild)

Parent / Guardian First Name:
(incase of Schoolchild)

Parent / Guardian Middle initial:
(incase of Schoolchild)

Title: Dr.　 Mr.　 Ms.　 Other

Company / Organization:

Job Title:

Department:

Address: Home　 Work(School)

City:

State:

Zip Code:

Country:

TEL：

FAX：

Registration Fees(for 2 days). Please tick the applicable Box
General \5,000　 Student \1,000 Child Free Parent(Guardian) \5,000

Please Select the PayMent method most Convenient to you (by ticking the applicable box) and make the Payment.
Please pay any bank transaction or service fees additionally.
Mitsubishi Tokyo UFJ Bank, Shukugawa Branch(Ordinary Account) 4525638 NPO Knots
Post Office 00940-2-225465 NPO Knots
Japan Net Bank Store No.001 Account 6104366 NPO Knots

Communication column:

* Please read the conditions below and click on the ‘send’ button.

*If your application returns, or if you do not receive an auto-reply email, please send your name and all contact information (address, phone #) to Knots at: info@knots.or.jp

*With certain internet and software environments, you may not be able to successfully send the Application Form. (An ‘error’ message may appear after clicking the ‘send’ button). For example, if your PC is installed with a firewall such as Norton Internet Security (which does not return IP addresses) the Application Form will not transmit. If you encounter this problem, or if in doubt, please send all the required application information to info@knots.or.jp
　
NPO Knots
TEL/FAX: +81-78-341-5884
E-mail： info@knots.or.jp
URL：　http://www.knots.or.jp