Registration Form

Paraguay 1217
Montevideo, Uruguay

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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?

ABS International	Pearson
Oxford	Urutesol

Other

• 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)

Enroll before October 14th and pay only U$S 65!

		Before November 4th			Before December 5 th			Before January 6 th			Before February 15 th
1 person		U$S 70 / $A 280			U$S 80 / $A 320			U$S 100 / $A 400			U$S 120 / $A 480

4 people or more enrolling together

U$S 60 /
$A 240 each

U$S 70 /
$A 280
each

U$S 90 /
$A 360
each

U$S 110 /
$A 440
each

Note: $A = Pesos Argentinos

ONSITE FEE: U$S 150 (Cash only)

Pre-conference Session Fees:

Individuals attending the Conference
Individuals NOT attending the Conference

U$S 15 / $A70 (Onsite U$S 25)
U$S50 / $A250 (Onsite U$S 60)

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)

2012 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 February 9 th, 2012. Please include “Conference Substitution” in the subject line.
After February 9, no substitutions will be possible.

Submitting this form means the participant has read and acknowledges the conference policies and regulations.

Payment
Options

PAYMENTS FROM URUGUAY

•	Banco Itaú - Caja de ahorro en dólares N°8546663 a nombre de María Eugenia Alfaro. Mandar comprobante con nombre por email a marualfaro@adinet.com.uy

•	Giro por ABITAB a nombre de María Eugenia Alfaro. Mandar comprobante con nombre por email a marualfaro@adinet.com.uy

•	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 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 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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