Registration Form (Architalk1)

    Registration Form

    Architalk: Seeing the World Through Architecture
    What is "Expression" in Architecture Now?


    Speaker: Jun AOKI (Architect/Professor, Tokyo University of the Arts)
    Moderators: Ryuji FUJIMURA (Architect), Masami KOBAYASHI (Vice President, Meiji University)
    Date: Wednesday, October 9, 2019 7:00-9:00 pm
    Venue: Iwasaki Koyata Memorial Hall, International House of Japan
    Language: Japanese (without interpretation)
    Admission: 1,000 yen (IHJ Members/Students: 500 yen)

    Your name (First name, Family name)

    Title
    Mr.Mrs.Ms.Dr.Prof.

    Affiliation

    Daytime contact number (eg. 03-3470-3211)
    *We will contact you by phone only in case of emergency.

    E-Mail
    *If free e-mail services such as Gmail are used, our e-mail may go into your spam-mail folder.

    Registration category
    Non-memberStudentIHJ Individual MemberIHJ Corporate Member  (IHJ Membership number: )

    Reception (8:15-9:00)
    will attendnot decided yetwill not attend

    Number of attendee(s) (Up to 4 people in total. Please select from the dropdown list)

    Additional information, inquiries
    (Please type in name and affiliation of accompanying guest if any.)

    Would you like to receive our monthly E-news?

    Questionnaire

    Sex　

    Age group　

    How did you learn about this program? (Please select from the dropdown list)

    Other sources (Please specify)



    Inquiries

    Program Department
    International House of Japan
    5-11-16 Roppongi, Minato-ku, Tokyo 106-0032
    TEL: 03-3470-3211 (Mon.-Fri., 9:00 am-5:00 pm)
    FAX: 03-3470-3170
    E-mail: program*i-house.or.jp (please replace * with @)