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Registration Form
Registration Form
REGISTRATION
DATA
Title:
First Name:
Last Name:
Affiliation:
Position:
Address:
Town/ City:
Country:
Telephone:
E‐mail Address:
Fax:
I
will
attend
the
IX
International
Conference
of
the
Attendee
Spanish
Association
for
Irish
Studies
as
Speaker
I will attend the Conference Dinner (please tick)
METHOD
OF
PAYMENT
Please
complete
this
form
and
print
it.
Then
send
it
with
a
copy
of
the
payment
by
fax:
(+34)
922
317611,
or
by
post
to
:
AEDEI
2010
Universidad
de
La
Laguna
Dr.
Juan
Ignacio
Oliva
Cruz
Departamento
de
Filología
Inglesa
y
Alemana
Facultad
de
Filología
Campus
de
Guajara
s/n
La
Laguna
(38071)
Tenerife,
Canarias,
Spain
ACCOUNT
DETAILS
Account
Holder:
AEDEI2010
Juan
Ignacio
Oliva
Cruz
Account
Number:
2065
0067
6814
0011
9759
IBAN
(International
Bank
Account
Number)
for
international
bank
transfers:
ES06 2065 0067 6814 0011 9759
BIC/SWIFT
code:
CECAESMM065
Concept:
“
Registration
AEDEI
2010”
–
your
name
REGISTRATION
FEES
AEDEI
Member
€
90
Before
16.04.10
€
110
After
16.04.10
NON‐AEDEI
Member
€
110
Before
16.04.10
€
130
After
16.04.10
STUDENT
€
75
(Student
affiliation
required)
Conference
Dinner
€
35
(Friday
evening)
Total
amount
(Fee
+
Conference
Dinner
where
applicable)
This
fee
includes
four
coffee
breaks
and
an
excursion
to
Teide
National
Park;
lunches
and
Conference
Dinner
are
not
included.
If
you
wish
to
attend
the
Conference
Dinner,
make
sure
to
tick
the
option
in
your
registration
form.