Pre Registration to ARTESOL 2015 - XI Southern Cone Convention
May 8-9, 2015 Buenos Aires, Argentina

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
On-site: Only if pre-registration form has been submitted.
International attendees: On-Site payment only

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!
Sign in to Google to save your progress. Learn more
LAST NAME *
FIRST NAME *
Identity card number *
BIRTH DATE *
ADDRESS *
ADDRESS Line 2
CITY *
PROVINCE *
COUNTRY *
POSTAL CODE *
AREA CODE + CELL PHONE NUMBER *
AREA CODE + PHONE NUMBER *
E-MAIL *
Affiliation *
ARTESOL *
Please check the items that apply to you
Specify
If you checked on group membership, please name the members of your group
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms