FILL IN THE FORM 「UX days Tokyo 2016」 参加申込み​フォーム

  1. FILL IN THE FORM
  2. CONFIRMATION
  3. Payment
  4. DONE
  1. We will send an invoice to the representative via e-mail.

Enter applicant information

Applicant

Participant Information

Conference application

Workshop application

Current application details ( total tickets)

  1. Held on

    Participants:

    Listed price
    Number of attendees
    Total price

The amount of money for payment

{{ ticket.name[language] }} Name participation)
Early Bird Discount
Bundle Discount
Volume discount for conference (枚)
Volume discount for workshop (枚)

Discount
Total price
Discount
After Discount Total
Tax
Grand total

Select a payment method

Invoice information

Please enter the billing information

  1. It is possible to extend deadline up to 20.05.2017.


Bank Details

Payment is only available for bank transfer.
When you receive your payment email, please transfer to the bank account below.

Rakuten Bank second business branch (252) Normal 3713595988
SWIFT: n/a
Bank Address: n/a
test bank_account_name
Account Address:

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