To attend as a companion to the XIV APPLIED ECONOMICS MEETING, please send this form:
XIV 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
E-MAIL
NIF -

REGISTRATION FEES
90 euros

I WANT TO ATTEND THE LUNCH AND DINNER OFFERS TWO MEETING DURING DEVELOPMENT

PAYMENT METHOD
CHARGE TO MY CARD
I AUTORIZE THE FUNDACIÓN ECONOMÍA ARAGONESA TO CHARGE A TOTAL OF
€
TO MY CARD NUMBER
EXPIRY DATE
AND CARD HOLDER´S NAME
NIF -
DATE 20
SIGNATURE  

BANK TRANSFER TO ASOCIACIÓN LIBRE DE ECONOMÍA - XIV APPLIED ECONOMICS MEETING TO THE BANK: IBERCAJA; ACOUNT Nº: 2085-0103-97-03-317518-65; IBAN ACOUNT Nº ES33 2085 0103 9703 3175 1865
OF A TOTAL OF €
enclosing a proof of payment by post or fax

CHEQUE TO THE XIV 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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