Send this form to: ISDL'99 University of Library and Information Science 1-2, Kasuga, Tsukuba, Ibaraki, 305-8550 Japan fax: +81-298-59-1093 (in Japan: 0298-59-1093) email: ISDL99-REG@DL.ulis.ac.jp I will participate in : [ ] ISDL'99 [ ] ISRLJA (International Symposium on Roles of Libraries for Japan and Asia) [ ] ISDL'99 & ISRLJA Banquet will be held in the evening on September 29 (Wed). The charge will be 5,000 yen which will be collected at the banquet site. Please check either of the check boxes below. [ ] Yes, I will attend the banquet. [ ] No, I will not attend the banquet. Please check in the box at the top of each item if you do not like the information to appear in the participant list. [ ] Name:_____________________ _______________________ _____________________ Surname First name Middle name [ ] Affiliation:_______________________________________________________________ Title: ( )Prof. ( )Dr. ( )Mr. ( )Ms. ( )Other______________________ [ ] Mailing Address ( ) Office ( ) home ____________________________________________________________________________ ____________________________________________________________________________ ZIP ________________, Country ______________________ [ ] Phone ________________________ [ ] Fax _________________________ [ ] email ________________________ Questions/Comments/Requirements (dietary, etc.)