This document is a registration form for an APrIR seminar titled "Teaching and learning together: 35 years and counting" to be held on various dates. It provides information on dates, membership fees, and payment options. Registrants are asked to provide their contact information and membership status, and select a payment method of Rapidpay, bank transfer, postal order/cheque, or cash. The signature and payment receipt are also requested.

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 Members
29/07 $ 180 Members $ 300 Non Members Enrollment Nº: …………………
19/08 $ 250 Members and Sts $ 400 Non Members
Name *
Last Name *
ID (DNI) *
Telephone Number *(Area Code + Number)
e-mail address *
Address *
City (include zip code) *
Membership Status *
APrIR Member
Non Member
Student
Payment 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 form
Signature: ………………………….. APrIR Secretary: ………………………