Nippon 2007 Party Request Application 
The 65th World Science Fiction convention
The 46th Japan Science Fiction Convention
(To speed processing, please write clearly and legibly)

Date of Application (d/m/y)   ____/____/______  

Party Applicant Membership ID _________	 Region of Participation _______
Family Name	__________________________________________________
First Name/ Middle Initial __________________________________________
Professional Name __________________________________________________
  (If able, please add name in Katakana or with phonetic pronunciation.)
________________________________________________________________
Group or Circle Name  __________________________________________________
Male___     Female___	Age_____

Address (line 1)  _______________________________________________
Address (line 2)  _______________________________________________
City or Town  _________________________________________________
Province or State  ______________________________
Postal Code  ___________________________
Country of Residence  ______________________________

1.TEL ____________________    2.Cell or mobile __________________
3.FAX	____________________  4.E-Mail _______________________________

Name of the Party
__________________________________________________________________
___________________________________________________________________
(Please include Katakana or a phonetic pronunciation, if able)

Purpose of Party:  __________________________________________________
_____________________________________________________________________
_____________________________________________________________________
(Japanese version, if able):_________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Introductions  _____________________________________________________
____________________________________________________________________
___________________________________________________________________
(Japanese version, if able)__________________________________________
__________________________________________________________________
___________________________________________________________________


Preferred day :
____1. No preference  
____2. Second day (Fri, Aug 31)  
____3. Third day (Sat, Sep 1)  
____4. Fourth day (Sun, Sep 2)  
____5. Three days: (Aug 31 to Sep 2)

May we send this information to the next convention?  1.No___  2.Yes___

Comments___________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

*Please understand that we may not be able to accommodate your requests, 
and that there may be changes.
After we have received and considered your application, we will send 
the details whether or not you have a room and the fees separately.

The processing of your application may be delayed if you fail to fill 
in all the required spaces.  If you have not heard from us one month 
or more after you have mailed your application, please enquire.  We 
regret any inconvenience.

Note:  We will use the party name, contents and introductions in our 
program book and the Nippon 2007 public homepage, etc.  If you don’t 
provide a description in English and Japanese, the Nippon 2007 committee 
may provide an English or Japanese description for you.  Please restrict 
the contents and introductions to 255 characters (127 “wide” or Japanese 
characters) each.