The 1st Academic Conference of Safety Psychology and Behavior for Healthcare (1SPBH)
Medical  Campus, The University of Tokyo, Tokyo, Japan
  16 – 17 March 2024
by International Association of Risk Management in Medicine (IARMM)

1. Contact details of person to receive all further exhibition information 

Exhibition space booking form

Contact person for payment queries or problems (if different from above): 

Name: 

Phone No: 
Where to send the invoice (if different from above): 

Invoice Address: 
City:							 Postcode:  
Special instructions: 
3. Conditions of booking 
By returning this booking form, you are accepting the Terms and Conditions laid out in the Exhibition Prospectus.
If you have any questions about this, please talk to us before returning the form. 
Job Title: 
Email: 
Please complete this form in BLOCK CAPITALS or typeface 

Application period: from 1 April 2023 to 31 January 2024

(Describe the contents of your exhibition)

After our acceptance of your proposal, we will announce the payment way.

ｨ Invoice. A copy of your Purchase Order paperwork must accompany this booking form in order for it to be processed. 
2. Payment details – tick appropriate box 
ｨ Bank transfer.  Payment to Bank of Tokyo-Mitsubishi UFJ      Hongo Branch              Account  IARMM      Account No. 0111719     Sort code: BOTKJPJT    Tokyo, Japan
Please fax remittance advice to +81-3-3817-6770. Expected payment date _____________ 
Return address: 4-7-12-102 Hongo, Bunkyoku, Tokyo, 113-0033, JPN 
Tel: +81-3-3817-6770 Fax: +81-3-6801-6987 (81 is a country code of JPN) email:  manager@iarmm.org