Annual Congress 2018 - Pre-Registration Form
Panama TESOL 32nd Annual Congress
September 21-21, 2018
Hotel El Panama, Panama City, Panama: https://goo.gl/maps/NwisiyS76kx
Conference theme: Strengthening and Connecting the TESOL Community

This pre-registration form is required for your membership.

Note: This pre-registration form will become an official registration once your payment is validated.

Disclaimer: payments are not refundable. In case of not attending, passes can be transferable to other attendees, previous notification to Panama TESOL.

PERSONAL INFO
Please use Initial Capital letter to fill every gap.
Title
First Name
Your answer
Middle Name *
Your answer
Last Name *
Your answer
I.D. Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
City *
Your answer
Province/State *
Your answer
Country *
Your answer
Phone
Your answer
E-Mail *
Your answer
PROFESSIONAL INFO
Institution/Organization
Write the name of the institution/organization you work for.
Your answer
Professional Degree *
Functional Role
Employment Status *
Educational Sector *
Work Setting *
Required
Years of Experience *
The symbol "<" means "less than".
ORIENTATION RELATED
Areas of Interest *
Required
Areas of Expertise *
Select an area in which you have a high level of expertise. This data will be used to fulfill speaker requests, and to find experts to lead TESOL programs. If you don't wish to participate in these opportunities, please skip this field.
Required
PAYMENT OPTIONS
You can pay in three installments
Inside Panama
Outside Panama
On-site
Bank Payment/Deposit (https://script.google.com/macros/s/AKfycbzNhyV8L38dmJFZSsYMd-Sa4PnrLFQs1dZ3K3Jx/exec)
Bank Transfer (https://script.google.com/macros/s/AKfycbzNhyV8L38dmJFZSsYMd-Sa4PnrLFQs1dZ3K3Jx/exec)
Receipt/Transfer Number (#)
If you transferred/deposited, please add the transfer number/receipt number in the line below
Your answer
EXTRA INFORMATION
Affiliate
Only if you belong to any TESOL affiliate chapter, or any other educational association.
Your answer
How Did You Find Out About the Congress? *
Required
NOTIFICATIONS
Please show up at the registration booth to validate your registration at arrival.

If you have any inquiry, don't hesitate to contact us

Payment issues/ offers: payments.panamatesol@gmail.com

Form issues: panamatesol@gmail.com


THANKS FOR YOUR SUBMISSION

Panama TESOL ● TEACHERS OF ENGLISH TO SPEAKERS OF OTHER LANGUAGES ● An Affiliate to TESOL International ● Founded on September 20, 1986 ● Panama, Republic of Panama ● www.panamatesol.org

SEE YOU AT THE CONGRESS!
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