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TESOL-Spain 2000 Convention Registration Form

Managing Learning: Learning and Helping to Learn

Universidad San Pablo - CEU
C/Julián Romea 23 - 28003 Madrid
24rd - 26th March, 2000

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Name:   Membership No:

Organization:

Mailing Address: Home: Organization:
Address1:
Address2:

Postal Code: City:
State/Province/County:
Country:

e-mail:
Telephone: Fax:

Sector: Public: Private:

Place of Work: Primary: Secondary: University: Adult-EOI: Adult-Other: Academia: Student: Other:

Membership Status: New: Renewal:

YOU MUST BE A PAID-IN-FULL MEMBER TO ATTEND THE CONVENTION

Payment:

Membership:
Individual Membership 3,500 Pts.
Institutional Membership* 12,500 Pts.
Student Membership 1,500 Pts.
Convention Fee
Preregistration (before 10 March) 6,500 Pts.
Student Preregistration (present your student ID card) (before 10 March) 3,500 Pts.
On-Site Registration 8,000 Pts.
On-Site Student Registration (present your student ID card) 5,000 Pts.

Enter total here:

Put any comments here:

To reserve your place now, click on the button now.  Please keep in mind that your registration will not be confirmed until payment has been received.

Please print the completed form and submit it by snail mail or fax with your cheque made out to TESOL-Spain, or proof of deposit in the TESOL-Spain account at the Banco Zaragozano: 0103-0315-77-0100012820

Exclaim6391.gif (1443 bytes)All registration information should be sent to:

Pauline O'Connell
Centro Universitario Francisco de Vitoria
Crta. M-515 Pozuelo-Majadahonda, km 1.800
28223 Pozuelo de Alarcón (Madrid)

DO NOT SEND TO U. SAN PABLO-C.E.U.!!!

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