Pre Registration to ARTESOL 2017

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May 12-13, 2017 - Paraná, Entre Rios, Argentina

REGISTRATION:

EARLY- BIRD Registration closes April 9, 2017
International attendees: On-Site payment in accordance to Pre registration date

PAYMENT INSTRUCTIONS:

Payment method: Cash Deposit or Funds Transfer: Nuevo Banco MACRO
Bank Account: 3333-0000002950-6
Argentina TESOL Asociación Civil
CUIT: 30-70174366-7 CBU: 2850333030000000295061

IMPORTANT: Once the deposit has been made, please email a scanned copy of the deposit slip to artesol.office@gmail.com. This will help us track your payment. Thank you!

Untitled Title

LAST NAME *

FIRST NAME *

Identification card number (passport # or DNI #) *

BIRTH DATE *

ADDRESS *

ADDRESS Line 2

CITY *

PROVINCE *

COUNTRY *

POSTAL CODE *

AREA CODE + CELL PHONE NUMBER *

AREA CODE + PHONE NUMBER *

E-MAIL *

Affiliation (school, university, organization you belong to) *

ARTESOL *

Please check the items that apply to you

Member

Student Member

New Member 2016

New Presenter & Member 2016

New Student Member 2016

Group Member 2016 (groups of 5)*

Group Member 2016 (groups of 10)*

Other:

Specify

If you checked on group membership, please name the members of your group

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