TESOL Tour Pre-Registration Form 2018
Panama TESOL Tour - Colón 2018
July 21, 2018

This pre-registration form is required to validate your attendance.

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

PERSONAL INFO
Please use Initial Capital letter to fill every gap.
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Title *
Date of Birth *
MM
/
DD
/
YYYY
I.D. Number *
Your answer
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
Functional Role
Educational Level *
Employment Status *
Educational Sector *
Work Setting *
Required
Years of Experience *
The symbol "<" means "less than".
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
Please choose any of the options for your payment.
1. On-site Payments
Planning to pay on-site? Please check the Registration Fee Grid before continuing to see the deals. If you agree, then click on the checkbox (Pay On-site) below [if you check this box, please skip next options.]
2. Bank Payment/Deposit (In Panama)
A). Make your payment/deposit at Banistmo - Account # 0101164441 Panama TESOL (checking account). B). If you pay with check, please make it payable to PANAMA TESOL. Then scan or take a clear picture of the bank slip after transaction. C). Name the file with your own name and upload it here: https://script.google.com/macros/s/AKfycbz9bCJM9PQS0ih81pCO2oAcqWSK-bu8l3X_d011PzAZaA5fH2eB/exec Then enter your slip number in the gap below. Note: show the slip when you get to the registration booth.
Your answer
3. Bank Transfer (In Panama)
A). Make a direct account-to-account transfer from your phone or computer (Banistmo - Account # 0101164441 Panama TESOL (checking account). B). Once done, make a screenshot of your transaction and upload it as an image here: https://script.google.com/macros/s/AKfycbz9bCJM9PQS0ih81pCO2oAcqWSK-bu8l3X_d011PzAZaA5fH2eB/exec C). Put your name on the file. D). Then add the transfer voucher number below
Your answer
Affiliate
Only if you belong to any TESOL affiliate chapter, or any other educational association.
Your answer
How Did You Find Out About this Event? *
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 THERE!
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