University of California,
1200 University Avenue
(92507-4596)
Riverside, California • USA
 
   
 
Personal
Information
fields marked
with * are required
* Last Name
* Name
Mailing Address
 Zip Code
* City
* State/Province
* Country
* Telephone number
(Please include country & area codes)
Ext.
Cell phone
* E-mail address
• How did you first hear
about this Conference?
• Have you ever attended any
of our events before?
If so, which one/s?
 
     
   
  Institution
Organization
Position/Title
Telephone number
(Please include country & area codes)
Ext.
Cell phone
E-mail
 
     
   
 
Registration
Fees
CONFERENCE FEES (all three days)
SUPER SPECIAL FEE FOR 2 OR MORE!
  ENROLL BEFORE OCTOBER 15 AND PAY ONLY u$s 250 EACH!
 

Before
August 31		   Before
October 15		   Before
December 2
  U$S 300     U$S 350     U$S 400
 
  ONSITE FEE: U$S 500 (Cash or checks only)
 

Pre-conference Session Fees:
(The Supervisor as Staff Developer by Laura Lewin)
  Individuals attending the Conference
Individuals NOT attending the Conference
 U$S 80 (Onsite U$S 150)
U$S 130 (Onsite U$S 200)

I want to attend (please tick):

Pre-conference Conference Both, Pre-Conference and Congress
 
  Fee
Pre conference U$S
Conference U$S
Total Amount U$S
 

Payment Method:
Check Credit Card Wire Transfer Western Union Bank Deposit
 
2010 Conference Cancellation and Substitution Policy

Cancellations or requests for refunds must be received in writing by November 8 th., 2010. To cancel a registration, please send an email to info@abs-international.com.ar and include “Conference Cancellation” in the subject line. If the refund is approved, it will be processed four to six weeks after the convention.

A processing fee of $100 will be deducted from each cancelled registration. No exceptions.

Substitutions are allowed. Please send the name of the original registrant and the name of the person substituting to info@abs-international.com.ar by November 22 nd., 2010. Please include “Conference Substitution” in the subject line.
 
  Submitting this form means the participant has read and acknowledges the conference policies and regulations.
 
 
 
 
   
 
Payment
Options
 
PAYMENTS FROM THE USA
•

Checks
 Checks must be payable in U.S. dollars (drawn on a U.S. bank) to LAURA LEWIN. Institutional checks should come together with a list of participants. Mail your checks to:

Laura Lewin
25 SE 12 av.
Fort Lauderdale- FL 33301 USA
 
•

Credit cards (Via Paypal)
 
•

US WIRE TRANSFERS (For individuals / organizations in the USA)
Receiver Bank Name: BankAtlantic
Fort Lauderdale, FL
Receiver Bank ABA#: 2670-8376-3
Beneficiary Acct #.: 11-0513999-6
Beneficiary name: Laura Esther Lewin
 
•

WESTERN UNION
Please send registration fee through Western Union, payable to Miguel Angel Atencio Castel (Use full name please). Fax your Western Union guide to 5411-4794-9002.
 
PAYMENTS FROM ARGENTINA
•

By bank transfer / deposit at Banco de Galicia
Savings Account (Caja de Ahorros en pesos) beneficiary: Miguel Atencio
Number 4899626-1246-1
CBU: 0070246330004899626113
DNI:18.730.961
CUIT: 20-18730961-2
•

By bank transfer / deposit at Banco Francés
Savings Account (Caja de Ahorros en pesos) beneficiary: Miguel Atencio
Number 237014658 6
CBU: 01702370- 40000001465860
DNI: 18.730.961
CUIT: 20-18730961-2
•

Giros Postales: Payable to Miguel Angel Atencio Castel. Solicitar que la oficina de pago sea la sucursal de Olivos, Buenos Aires y enviar un sobre con el giro postal, aclarando remitente, a Fray Luis Beltrán 2439, (1640) Martinez, Buenos Aires, Argentina.
 
PAYMENTS FROM URUGUAY
 

Banco Credit Uruguay - Savings account in dollars (Caja de Ahorro en dólares N° 27-23209 (beneficiary: Marcelo Caig).
Please add U$S 5 to the transaction for processing charges.
 
PAYMENTS FROM OTHER COUNTRIES
  WESTERN UNION
 

Please send registration fee through Western Union, payable to Miguel Angel Atencio Castel (Use full name please). Fax your Western Union guide to 5411-4794-9002
 
•

INTERNATIONAL WIRE TRANSFERS (For individuals / organizations outside the USA)
US DOLLAR ONLY!
Receiver Bank Name: BankAtlantic
Fort Lauderdale, FL

SWIFT: BKATUS3F
Receiving Bank ABA#: 2670-8376-3
Beneficiary Acct. #: 11-0513999-6

Beneficiary name: Laura Esther Lewin
Please add U$S 10 to the operation for administrative charges
 
•

INTERNATIONAL FOREIGN CURRENCY TRANSFERS (in Euros or GBP)
Send to: bank of Ireland
Treasury and International Banking
Colvill House, Talbot Street
Dublin 1, Ireland

SWIFT: BOFIIE2D
Sort Code: 90-13-94
In favour of (For EUROS wires) Account # 48477003 of Foreign Currency Exchange Corp.
Or (For FBP wires) Account # 48477001 of Foreign Currency Exchange Corp.

Reference: BankAtlantic
Fort Lauderdale, FL

For further credit to: Laura Esther Lewin, Account number # 11-0513999-6
Please add U$S 25 to the operation for administrative charges
 
   
 
   

For further information contact us:
ABS International
Bouchard 1622, (B1637AZJ) La Lucila,
Buenos Aires, Argentina

Phone: (5411) 4799 1555
Fax: (5411) 4794 9002
info@abs-international.com.ar

 

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