APPNA 26th International Meeting South Korea (Seoul) & Japan March 23 31, 2019 REGISTRATION FORM Personal Information: Person 1. (Name as it appears on your passport, spell as they are on passport) First Name Middle Initial Last Name Nationality/country of passport Passport Number Expiration date on passport Date of Birth on Passport Departure City/airport Person 2. (Name as it appears on your passport, spell as they are on passport) First Name Middle Initial Last Name Nationality/country of passport Passport Number Expiration date on passport Date of Birth on Passport Departure City/airport
Person 3. (Name as it appears on your passport, spell as they are on passport) First Name Middle Name Last Name Nationality/country of passport Passport Number Expiration date on passport Date of Birth on Passport Departure City/airport Person 4. (Name as it appears on your passport, spell as they are on passport) First Name Middle Name Last Name Nationality/country of passport Passport Number Expiration date on passport Date of Birth on Passport Departure City/airport (Uses a photocopy for additional names) Information for communication: Street Address City State Zip Phone (home) Phone (cell) Fax E-mail Hotel information: Number of rooms required (each room must have 2-pp, unless single supplement) Type of rooms (circle one): Room #1: 1-bed 2-beds Room #2: 1-bed 2-beds ***Room type Is not guaranteed Special Needs (if any)
Registration deadlines: December 31, 2018 ** **Registration may be stopped prior, if maximum capacity of group is filled **All registrations will be entertained on first come first registered and paid basis Price does NOT include International Flights (Price includes flight from Seoul to Tokyo) You need to book your own International flight to Seoul, arriving in Seoul, South Korea on March 23 and departing from Osaka, Japan on March 31 You can call our preferred travel agent, who has negotiated fares with few airlines; Travel House International at 248-250-6552 / 716-713-8716 or make your own arrangements. We will provide 3-airport transfers, if you arrive by United or Korean airlines. These airlines have most convenient arrival time in Seoul (between 1:00 PM and 5:00 PM om March 23 rd ) Payment Information: Amount # of Guests Cost per person for first & second person in same room (double occupancy) $ 3890 * =$ Child Ages 2-11 sharing room with two adults (max 2-beds allowed) $ 2880 * =$ Single Supplement (Add) $1140 * =$ CME Fees: (All Physicians must register for CME) $300 * =$ G. Total: $ (Full payment is due at the time of registration, which is fully refunded, less credit card service fees & Admin fee of $300 per person, by December 15, 2018 By Check: Check # ; Check Amount: $ Or Credit Card # Exp. Date: Name on Credit Card: Amount: $ (If you are paying by credit card, 3% service fee will be charged) Cancellation: Full payment is refundable (less credit card service fees & admin fee of $300 per person), if cancelled by December 15, 2018 A 50% refunds will be issued if cancelled after December 15, 2018 and before February 05, 2019 No Refunds will be given if cancelled after February 05, 2019 ALL CANCELLATIONS MUST BE SUBMITTED IN WRITING to meetings@appna.org BY EMAIL OR FAX TO APPNA CENTRAL OFFICE APPNA does not carry any trip cancellation insurance, it is your responsibility to buy any insurance, information on insurance will be sent to all registrants
Instructions: * This APPNA Conference Registration Form can be used to register a group of up to 4 attendees. This form contains common Information pertaining to all registrants including the Primary Registrant. You must provide details of each member of your group. * Incomplete Applications may cause unnecessary delays in making your reservations. * Please note that space is limited. APPNA reserves the right to limit or refuse attendance at any time for any reason. Submitting this application does not guarantee you or your group to attend. *Please send copy of passports of all registrants by email to mona@meetingsnmore.us *If you have any questions about how to use this form, please contact the APPNA Office at 630-968-8585 during normal business hours or call Tipu at 317-222-1370 tipu@meetingsnmore.us Disclaimer: The responsibility of APPNA in coordinating tour, hotel, travel or visa arrangements is limited. APPNA assumes no liability whatsoever for injury, damage, loss, baggage loss, accident, delay or irregularity which may be occasioned either by reason of defect, through the acts or defaults of any company or person engaged in the management for travel or tour, or from any cause beyond APPNA s control. Itinerary: Deviations to planned itinerary may occur due to weather, traffic or any other conditions beyond our control such as strike, acts of God, war, fire, acts of Government, riots, etc. We will do our best to insure that all the tours and visits are as mentioned in the itinerary that will be sent to all registrants. Insurance: Attendees are required to have their own insurances for cancellation, emergency, accident, health or any travel related to this trip. Activities: All daily activities are rated 1-5 levels;(level 1: light to moderate walking and flat); Level 2: Moderate walking; some hilly; Level 3: Moderate to extended walking; walking on slopes/hills; high altitude walking; Level 4: Extended walking ; Hills ; high altitudes; Level: Extended walking; difficult terrains; Hills) IMPORTANT: These levels are indicators for reference only; you can contact us for details Send your Registrations to: By Mail: Complete and mail enclosed registration form along with a check payable to APPNA, 6414 S. Cass Avenue, Westmont, IL 60559 By Fax: Complete and fax this registration form along with your credit card information to APPNA at 630.968.8677 Your Name: Signature Date:
APPNA 27th International Meeting South Korea & Japan March 23 31, 2019 Tentative Itinerary: March 23, 2019: Transfer to Hotel Hotel Check-in, Welcome Dinner Overnight in Seoul Meals: Dinner Arrive Seoul, Korea March 24, 2019: Full Day tour of Seoul (Activity Level 2) 9:00 AM: Begin your journey at Jogyesa Buddhist Temple, the center of Zen Buddhism in Korea, famous for its location in the city center. Next, your tour takes in Gyeongbokgung Palace, Ginseng Center, Changdeokgung Palace, Insadong's arts and crafts street, Amethyst/Ginseng Center, and Namdaemun Market, Seoul Central Mosque With its magnificent gates, the graceful architecture of Gyeongbokgung Palace shows the beauty of Korean traditional cultural heritage. Located on the Gyeongbokgung Palace grounds, The afternoon tour includes a visit to Changdeokgung Palace via Ginseng Center. Changdeokgung Palace was designated as a World Cultural Heritage site by UNESCO in 1996 and is considered the best preserved among the five royal palaces of the Joseon Dynasty (1392 1910). After a visit to Insadong and Amethyst's showroom, visit Namdaemun Market, the largest traditional market in Korea. Evening tour of DMZ, If time permits (Activity Level 1)
The Demilitarized Zone (DMZ) lies on the border between North and South Korea, and visiting outside of a guided tour is not allowed. On this tour, explore the DMZ with your guide and gain insight into Korean War history. Take in sites of interest including the 3rd Tunnel and the Dora Observatory in safety Overnight in Seoul Meals: Breakfast; Lunch March 25, 2019: Namiseom (Nami) Island, Petit France & Garden of Morning Calm (Activity Level 2)
Nami Island is famous for being a shooting site of the hit Korean drama "Winter Sonata." It is also famous for the scenic tree lined roads that offer spectacular views of autumn foliage, but the scenery is beautiful year round. There are also fun activities available such as zipwire, bike riding, electronic car tour, and many more. These activities are optional and not covered by the standard entrance fee. After Nami Isand, head over to Chuncheon City to try the city's world famous Dakgalbi dish (spicy stir fry chicken). Non spicy and other meal options are available for all types of dietary restrictions as well. From there, head to the nearby Garden of Morning Calm. Garden of Morning Calm is the oldest private garden in Korea. It is an artistic space with a beautiful balance between the Korean concept of natural curves with asymmetry, and plants with synthetic materials. Scenic walkways, beautifully manicured grass, and flower beds connect the garden's 20 different themed sections. The last site of the day is Petit France. Nestled in the hills, you would think that you have arrived at a real French village in the Alps. The village is inspired by the famous French novel "Le Petit Prince." The village actually contains a memorial hall to Antoine de Saint-Exupery, the author of "Le Petit France." Enjoy a mix of food, shops, performances, and French culture Overnight in Seoul Meals: Breakfast, Lunch March 26, 2019: Flight to Tokyo; Arrive Tokyo; Hotel Check-in Tokyo by night (Night panoramic tour) Overnight in Tokyo Meals: Breakfast, Dinner Seoul, Korea Tokyo, Japan
March 27, 2019: Full Day Tour of Tokyo (Activity Level 2) Enjoy a comprehensive Tokyo one-day tour, covering its best gardens, temples, shopping areas and a Tokyo Bay. Check out Meiji Temple, the city s most famous Shinto site before visiting the Imperial Palace and Tokyo s oldest Buddhist site, Asakusa Kannon Temple Overnight in Tokyo Meals: Breakfast, Lunch (Boxed) March 28, 2019: Tokyo - Mount Fuji -Kyoto(Activity Level 3) Full Day tour of Mount Fuji & Lake Ashi Full-day tour of Mt Fuji, then continues to nearby Lake Ashi and the Mt Komagatake Ropeway. Enjoy the ease of comfortable transportation and a knowledgeable guide, who will accompany you to the revered Mt Fuji's 5th Station. Take a short boat cruise on Lake Ashi and climb by aerial tram to the top of Mt Komagatake for views of Mt Fuji Take Bullet train to Osaka Overnight in Osaka Meals: Breakfast, Lunch (Boxed), Dinner
March 29, 2019: Full Day Tour of Kyoto (Activity Level 2) Commence your tour at Nijo Castle. Built in 1603, this fortified palace was the Kyoto residence of the Tokugawa Shogun during the time of feudal military dictatorship in Japan. The castle is known for the contrast between its solemn appearance and gorgeous interiors. Outside, enjoy the beautiful gardens noted for the careful planning that guarantees colorful plants bring vibrant color all year long. Inside, learn of the many secret rooms and passageways, as well as the nightingale floors designed to creak and sing whenever walked upon to alert the household of intruders. Golden Pavilion is renowned as home to the most authentic and exquisite Japanese-style garden in the world. Be dazzled by the Japanese architecture and gold-leaf gilding that adorn the top two levels of this elegant structure. The ancient Kyoto Imperial Palace is a testament to the Japanese fondness for purity, simplicity, and calm. Since its installation in 794, the palace has been destroyed and rebuilt eight times and was the residence of Japan s imperial family for over 1,000 years until the emperor and capital were moved to Tokyo. Take time to admire this stately royal palace. Relax and refuel with a western-style buffet lunch at Heian no Mori Kyoto, then begin the second half of your day at Heian Shrine. Built in 1895, Heian Shrine commemorates the 1,100th anniversary of the founding of Kyoto as Japan s previous capital. Dedicated to the first and last emperors who reigned in Kyoto, graceful old court life is reflected in this brightly colored shrine with its vermillion pillars, green roof, and enchanting inner gardens and ponds. Heian serves as the center of spirituality and patriotism for countless Japanese citizens, and is widely renowned for its weeping cherry trees, Japanese irises, and water lilies. Overnight in Osaka Meals: Breakfast, Lunch (Boxed); Dinner
March 30, 2019: Nara & Osaka (Activity Level 2) Osaka is a large port city and commercial center on the Japanese island of Honshu. It's known for its modern architecture, nightlife and hearty street food. The 16th-century shogunate Osaka Castle, which has undergone several restorations, is its main historical landmark Nara is the capital of Japan s Nara Prefecture, in south-central Honshu. The city has significant temples and artwork dating to the 8th century, when it was Japan s capital. Deer roam in Nara Park, site of Tōdai-ji Overnight in Osaka Meals: Breakfast, Lunch (Boxed) March 31, 2019: Transfer to airport for flights to USA Meals: Breakfast Departure - Osaka - USA ---------------- end of tour ---------------------