Please, print in block letters or type and keep a photocopy for personal records. Items with an asterisk (*) are mandatory.
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Transparencies Blackboard Power Point
If you select Power Point please tick here if you are bringing your own computer
Please, do not reveal my e-mail address to assistants. Please, do not reveal my mobile phone number to assistants. I require a Letter of Invitation to attend the EAERE 2003 Congress to accompany my visa application.
If you are interested on being a EAERE Member you can contact clicking here Please, tick here if you require a vegetarian menu Please let us know if you require an special food:
The Registration Fee includes:
Accompanying person registration fee covers:
METHODS OF PAYMENT
TOTAL AMOUNT: EUR (All payments must be made in Euro)
A) EURO CHEQUE:
Made Payable to: EAERE 2003 Make sure that your name is clearly written on the cheque. Payments have to be in Euro through an International Bank. Please send this form together with the cheque by regular mail to:
EAERE 2003 Secretariat / nahise Navarra, 6 - 1ª planta Dpto.5 48001 Bilbao. SPAIN
B) BANK TRANSFER:
Bank: Bilbao Bizkaia Kutxa Account number: 2095 0000 70 91 04087585 Make sure that your name is clearly written on the money order. Payments have to be in Euro through an International Bank. Please send this form together with a copy of the bank transfer receipt by fax (number: 34 94 423 21 61) or by regular mail to:
C) CREDIT CARD:
CARD HOLDER´S SIGNATURE (only if sent by fax)
The Congress Organisation accepts no liability for any misuse of personal information if credit card numbers are sent over the Internet.
Please send this form by fax (number: 34 94 423 21 61) or by e-mail (ON LINE) clicking on the Submit Button below:
For further information contact:
EAERE 2003 Secretariat / nahise Ms. Nahia Egaña Navarra 6, 1ª planta Dpto.5 48001 Bilbao (Spain)
Phone: 34 94 435 40 03 Fax: 34 94 423 21 61 Email: eaere2003@gruponahise.com