Facultad de filología

TESOL-Spain 2001 Convention Registration Form

A Quest for Teacher Development

Universidad de Sevilla
Facultad de Filología

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:

Check this box if you do NOT wish to receive mailings of material from other organizations.

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.
Convention Dinner (3,500 pesetas per person) number of people:	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 Santander, account number 0049 6192 13 2995000851

All registration information should be sent to:

Tammi Santana
American English School
Edificio Viapol, 4-13
41018 Sevilla

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