Convention 2019 Early-bird preregistration form

Before completing the form please read the Italian Privacy Statement.

First name *

Last name *

Address *

Postal code *

City *

Country *

Date of Birth *

Place of birth *

Fiscal Code* (SSN# or NIN#)

Email *

Home phone

Cell phone *

Kind of school presently teaching at

Italian Privacy Law Information (D. L.gvo 196/03)*:

Please note: without permission to use your personal data, TESOL Italy can neither recognise your registration nor membership request.

I'm preregistering for:

Convention registration includes 2020 TESOL Italy membership.
Payment of convention fees should take place before completing the online form. If you have made the payment, you may upload a copy of your receipt below. (Files allowed: pdf, png, ping, gif, jpg, jpeg)

Type of payment*:

Date of payment*

If you are using the "Carta del Docente", please write the "codice identificativo del buono della carta" here

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FOR PRE-REGISTRATION PAYMENTS

c/c postale n. 15774003, TESOL Italy, Via Boncompagni, 2 – 00187 Roma;

IBAN:  IT71 Z076 0103 2000 0001 5774 003

BIC/SWIFT code:  BPPIITRRXXX    CIN:  Z