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