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APrIR seminar enrollment form

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Seminar "Teaching and learning together: 35 years and counting"

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APrIR seminar enrollment form

  1. 1. APrIR Seminar "Teaching and learning together: 35 years and counting" Please fill in this registration form and state your payment preference and payment information on it.Dates and Fees: DATE: …………………..…….…….01/07 $ 120 Members29/07 $ 180 Members $ 300 Non Members Enrollment Nº: …………………19/08 $ 250 Members and Sts $ 400 Non MembersName *Last Name *ID (DNI) *Telephone Number *(Area Code + Number)e-mail address *Address *City (include zip code) *Membership Status * APrIR Member Non Member StudentPayment Method *(tick the preferred choice) Rapipago,PagoFacil (you will receive the ticket by email) Bank Transfer or Deposit: Banco Nación Suc. 3020- Rosario - CBU Nº 01104442/40044427146462 -Cuenta Corriente Especial Nº 444271464/6 - Asociación de Profesores de Inglés de Rosario - CUIT: 30-6805210-9 Postal order or cheque payable to LEDA NOEMÍ SIBURU Cash (at APrIR office)If you make a bank transfer, please attach the transfer receipt to the present formSignature: ………………………….. APrIR Secretary: ………………………

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