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Individual Registration Form
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 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
(all three days)
Two people enrolling together before
February 18
pay only $210 each!
Conference Session Fees:
Before March 12
Before
April 8
Before May 13
Onsite
$ 250
$ 280
$ 310
$ 400
International Participants:
U$S 80
U$S 90
U$S 100
U$S 150
Note: $A = Pesos Argentinos
Group Fees:
10% group discount on the registration fee for five people or more enrolling together
15% group discount on the registration fee for ten people or more enrolling together
20% group discount on the registration fee for fifteen people or more enrolling together
Plus....
one coordinator for free with a paid group of 5 people!
Pre-conference Session Fees:
Individuals attending the Conference
Individuals NOT attending the Conference
U$S 15 / $A 50
U$S 50 / $A 150
I want to attend (please tick):
Pre-conference
Conference
Both, Pre-Conference and Conference
Fee
Pre conference U$S
Conference U$S
Total Amount U$S
Payment Method:
Western Union
Bank Deposit
Credit Card (via PayPal)
2011 Conference Cancellation and Substitution Policy
The Conference registration fee is
non-refundable.
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 May 2nd., 2011. Please include “Conference Substitution” in the subject line. After May 2nd., no substitutions will be possible.
Submitting this form means the participant has read and acknowledges the conference policies and regulations.
Payment
Options
Argentinians
•
In person at ABS International
Malaver 2072, (1636) Olivos • MO-FRI 09:00 am - 5:00 pm.
•
by bank transfer / deposit at
Banco de Galicia
Caja de Ahorros en pesos a nombre de Miguel Atencio
Number 4899626-1246-1
CBU: 0070246330004899626113
DNI:18.730.961
CUIT: 20-18730961-2
•
by by bank transfer / deposit at
Banco Francés
Caja de Ahorros en pesos a nombre de 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: ABS International, Malaver 2072, (1636) Olivos, Buenos Aires, Argentina.
PAYMENTS FROM URUGUAY
•
Banco Credit Uruguay
- Savings account in dollars (Caja de Ahorro en dólares N° 27-23209 27-23209 (beneficiary: Marcelo Caig).
Please add U$S 5 to the transaction for processing charges.
•
WESTERN UNION
Please send registration fee through Western Union, payable to
Miguel Angel Atencio Castel (Use full name please).
Fax your Western Union guide to
(5411) 4797 5974
.
Note:
Please make sure the transfer can be picked up from
Argentina
.
PAYMENTS FROM OTHER COUNTRIES
WESTERN UNION
Please send registration fee through Western Union, payable to
Miguel Angel Atencio Castel
(Use full name please)
. Fax your Western Union guide to
(5411) 4797 5974
Note:
Please make sure the transfer can be picked up from
Argentina
.
•
US WIRE TRANSFERS
(For individuals / organizations outside the USA)
US DOLLAR ONLY!
Receiver Bank Name: BankAtlantic
Fort Lauderdale, FL
SWIFT: BKATUS3F
Receiving Bank ABA#: 2670-8376-3
Beneficiary Acct. #: 11-0513999-6
Beneficiary name: Laura Esther Lewin
Please add U$S 10 to the operation for administrative charges
PAYMENT WITH CREDIT CARDS
•
Credit cards (Via Paypal)
Submit the payment to
lewin@abs-international.com.ar
For further information contact us:
ABS International
Malaver 2072, (1636) Olivos,
Buenos Aires, Argentina
Phone/Fax: (5411) 4797 5974
info@abs-international.org
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