Registration Form Japan-Indonesia Economic Gathering December 12, 2003 (13.00-14.00) Kisha Club (Map) Foreign Press Center Building 10Floor Uchisaiwaicho, Tokyo Speaker: Mr. Kusumo A.Martoredjo Chairman of Indonesia-Japan Economic Committee Indonesia Chambers of Commerce and Industry, with others Indonesian Executives　 and (planned) an Indonesia Minister Name : Section/Position : Company/Organization : Address : Telephone/Facsimile : Email : Registration Fee \2,000 (1,000 yen for Member JIEF) per person, will be: Transfer to: Office Promosi, Ltd. Bank of Tokyo Mitsubishi - Kanamachi Branch, Tokyo (Yen currency only) Acc. No.0005-202-0852344 Directly pay at the Seminar's Entrance Deadline: December 10, 2003 Result of the seminar