To attend
XI APPLIED ECONOMICS MEETING
,
please send this form:
XI Encuentro de Economía Aplicada
Fundación Economía Aragonesa
C/ Costa, nº 9, entresuelo derecha. 50001 Zaragoza
Tel. 976 46 86 50 / Fax 976 21 76 42
E-mail:
eea@unizar.es
SURNAME
NAME
ADDRESS
UNIVERSITY OR RESEARCH CENTRE
POSTAL CODE
CITY
HOME TEL.
WORK TEL.
FAX
E-MAIL
NIF
-
I WISH TO ATTEND THE CONFERENCE AND
I PRESENT A PAPER
I DO NOT PRESENT A PAPER
ARE YOU WILLING TO PRESENT THE PAPER
TO THE YOUNG RESEARCHERS ALdE PRIZE 2008?
YES
NO
conditions
REGISTRATION FEES
BEFORE 18th MAY 2008
ALdE MEMBER:
125 euros
NO ALdE MEMBER:
150 euros
AFTER 18th MAYO 2008
ALdE MEMBER:
175 euros
NO ALdE MEMBER:
200 euros
PAYMENT METHOD
CHARGE TO MY CARD
CREDIT CARD
VISA
EUROCARD
MAESTRO
MASTERCARD
I AUTORIZE THE FUNDACIÓN ECONOMÍA ARAGONESA TO CHARGE A TOTAL OF
€
TO MY CARD NUMBER
EXPIRY DATE
ENERO
FEBRERO
MARZO
ABRIL
MAYO
JUNIO
JULIO
AGOSTO
SEPTIEMBRE
OCTUBRE
NOVIEMBRE
DICIEMBRE
AND CARD HOLDER´S NAME
NIF
-
DATE
ENERO
FEBRERO
MARZO
ABRIL
MAYO
JUNIO
JULIO
AGOSTO
SEPTIEMBRE
OCTUBRE
NOVIEMBRE
DICIEMBRE
200
SIGNATURE
BANK
TRANSFER
TO THE XI APPLIED ECONOMICS MEETING
TO THE BANK: IBERCAJA; ACOUNT Nº: 2085-0103-90-03-016262-00
OF A TOTAL OF
€
enclosing a proof of payment by post or fax
CHEQUE
TO THE XI APPLIED ECONOMICS MEETING
FROM THE BANK
NUMBER
OF A TOTAL OF
€
GENERAL
CONDITIONS
*
No form will be admitted if it is not correctly filled in. Send only one form per person.
*
For payments by credit card, you will have to send the signed form.
*
For payments by transfer, it is necessary to send the receipt of the transfer by POST or FAX.
COMMENTS
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