[Participation]Application form

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[Participation]Application form
Please confirm the following

1.After applying using the form, you will receive an automatic reply from the office.
2.Once you receive the email, please pay within 7 business days from the following day you receive the email from the office. (Details are listed in the automatic reply)

Email Settings
1. If you do not receive any automatic reply, there might be an issue with your mail filtering settings or the email could be differentiated as spam. Please contact the office if you can not solve the issue by looking into the settings or the spam box.



Title*
[Application]The 7th Asia Society of Traditional Veterinary Medicine Conference/ Asian Traditional Chinese Medicine Conference Japan Conference

Please select from the following *

Name*

Date of Birth*(Please use Western calendar. Example: 1989, Jan 8th )

Year
Month
Date

Email Address*

ZipCode*

Address*

Phone number*(Number that can be reached such as cell phone numbers)

Job

Affiliation

Affiliation Homepage

Message


*** Please cooperate with the questionnaire (Optional)***

Where did you find about the Conference?

What made you attend the Conference?

Do you already use Traditional Chinese Veterinary Medicine or Accupuncture treatments in your veterinary practice? How long have you been using them?

What are the major conferences that you attend?


I confirmed the details of The 7th Asia Society of Traditional Veterinary Medicine Conference/ Asian Traditional Chinese Medicine Conference, Japan Conference, accept all and wish to apply.(Required*)





The 7th Asia Society of Traditional Veterinary Medicine Conference/ Asian Traditional Chinese Medicine Conference Preparation Office

Email : astvm.japan2019@gmail.com
HP address(URL) : https://astvm.jp/en