To: JCCF
FAX: +81-6-6443-6685
Email:
Name:
Prof.
Dr.
Mr.
Ms.
(Family Name)
(First Name)
(Middle Name)
Affiliation:
Address:
Phone:
FAX:
E-mail:
Remittance:
(Japanese Yen)
I instructed my bank,
, on
to make a payment of the conference fee to the account of
"Japan Combinatorial Chemistry Focus Group (JCCF)"
at
Sakura Bank
,
Higobashi Branch
[Account No.
3464685
(Regular Savings)]