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Japan Women’s Conference
January 22-24, 2010

Amagi Sanso
Yugashima 2860, Izu-shi, Shizuoka-ken 〒410-3206
Telephone: 0558-85-0625; fax 0558-85-1705
Toll free: 0120-85-0625

As an alternative to submitting this registration form online you can also print and fax (042-475-2907) or mail it to the address at the bottom of this form. A PDF version (free Adobe Reader needed to view) is also available.

First name: Last name:
Make payment via Postal Money Order (furikae). Pick one up at any post office and send it to the following account:

Acct #:    00240-3-29031
Acct Name: Women’s Conference

Be sure to write your name and address in roman letters. Allow 5-7 days for the money to reach our treasurer and be recorded.
Address:
Tel: Fax:
Email:

Rooms

The per-person registration fee covers lodging, six meals, conference program and onsen admission. Please register as soon as possible.

Early Bird Special
(paid by December 1)		 Regular
(paid by January 10)		 Late
(paid after January 10)
Shared Japanese room ¥23,000 ¥25,000 ¥29,000
Western room for two ¥29,000 ¥31,000 ¥35,000

Japanese rooms: futon and tatami, 2-6 people. Western rooms: en-suite, twin and very limited singles. Roommate(s) request:

Accompanying daughter special rate (age 14+).

Daughter's name:

shared Japanese room Western room for two
¥15,000 ¥21,000

Scholarship

The Women's Conference is a non-profit making activity. Please consider adding a donation to your registration to aid the scholarship program. Through this program we can offer a discount registration to those women in Christian work in Japan who would not otherwise be able to attend.

I am adding yen to my registration fee as a scholarship donation.


Meals

Friday

Dinner
Saturday Breakfast Lunch Dinner
Sunday Breakfast Lunch

If you arrive late Friday and need a dinner saved, what is your expected arrival time?

Vegetarian

Other dietary needs:

If you are bringing your daughter the details above will be assumed to apply for both of you. Please put any changes or additions here. (eg. different arrival time, meals, roommate request)
 

Amagi Sanso cannot guarantee special meals for registrations received after January 20th, 2008.

Volunteer

Many people help with some aspect of running The Women's Conference. Please consider joining in this big team effort in one (or more!) of the following ways. Please tick the appropriate boxes.

Helping with worship
Leading a Workshop (Winnie Shiraishi will contact you),
Workshop you could facilitate
Helping with the Labyrinth (see brochure for information on the Labyrinth)  
Helping to organise the snack table
Bringing a snack to share
Leading singing, playing the piano or another musical instrument
What instrument(s)?

Information for the conference booklet

What are your vocation/work/special interests?

Is this your first time attending the Japan Women's Conference?
Yes
No

Are you leaving Japan and this is your last Japan Women's Conference?
Yes
No


An email will be sent to the account you specified above to confirm receipt of this registration form.

CANCELLATION POLICY

If you cancel in writing (post, fax, email) by January 15, your payment will be returned, less postage.

QUESTIONS & INFORMATION 

Email:  amagi2010@gmail.com

The Women's Conference Planning Committee,
c/o Sherrills, Koyama 1-15-13, Higashi Kurume, Tokyo 203-0051

FAX: 042-475-2907

Telephone:
10am-4:30pm:         Sarah Oba 03-3203-0101
Weeknights/weekends: Teresa Sherril 042-475-2907


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