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 Hotel Request Form: send to toshiyuki.takahashi@kek.jp by June 24
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Hotel (your preference with x): (   ) Sannomaru Hotel
                                (   ) Mito Keisei Hotel

  Please understand that you might be arranged for the other
  hotel than the one you requested because the number of the
  rooms is limited.

 First/Middle Name:
 Family Name:

 Street Address:
 City:
 Zip code:
 Country:

 Telephone Number/Fax number:
 Email address:

 The number of persons:

 Arrival date:
 Departure date: