Application form for "Virtual Reunion for Miyagi Summit 2009 and San Francisco & Bay Area Summit 2010"
Max.100 people (for both Japanese and American participants including Operating staff)

Please answer the questionnaire below:
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Email *
First Name *
Last Name *
E-mail *
Which Grassroots Summit did you attend? *
Required
Which Local Session did you join? *
This will help to match the breakout members.
Which Local Session did you participate in? *
This will help to match the breakout members.
Any request to the Reunion organizers?
Consent Application *
This application is pre-registration and does not guarantee acceptance to participate in the event.  The registration is first-come and first-serve basis, and applicants will be added to the waiting list after reaching the number.  The notice of registration and being on a waiting list will be informed after July 1.
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