Institutional Registration Form
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Participants
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  Name: Personal Email address: Cellular phone:
* 1.
* 2.
* 3.
* 4.
* 5.
* 6.
* 7.
* 8.
* 9.
.10.
 
     
   
 

Institutional
Affiliation
Organization
Telephone number
Email address
Position/Title
Head of English Department
Name of Group
 
     
   
 
Registration
Fees
Conference Session Fees:

Before August 3
$		 After August 3
$
1 person 120 140
5 people or more enrolling together 100 each 120 each
ACPI members 90 105
SBS Card Holders 90 105
 
    Handout $10.-  
 
 
  Amount paid $
 
 
   
 
Payment
Option
 
Argentinians
•

At SBS Córdoba
Caseros 79, Córdoba.
•

Banco Galicia Caja de ahorro Número 9750442-1 006-1
a nombre de STRATFORD BOOK SERVICES S.A.
 
 
 
 
   

ABS International
Bouchard 1622
(B1637AZJ) La Lucila
Buenos Aires, Argentina.