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	       | AERFAISS'08 Registration Form |
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Personal Information 
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Please, fill in all the fields.

First Name:	
Last Name:	
Affiliation:	
Address:	
City:		
ZIP code:
Country:
E-mail:
Tel:	
ID/Passport:
 

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Payment 
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Fee: 
early registration, from 1s January 2008 to  30th April 2008, for either full time students or AERFAI members; late registration, from 1st May 2008 to 15th June 2008, for either full time students or AERFAI members; others.
[ ] Early  	325 EUR   
[ ] Late   	350 EUR  
[ ] Others	375 EUR  

The payment will be carried out through bank transfer 
to the following account pointing out the name and 
surname of the attendee and quoting AERFAISS'08 in the 
subject of the transference.

IBAN: ES 74 2095 0101 50 9102949295
BIC: BASKES2BXXX

Reference: AERFAISSÕ08


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Fax
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Fax this form along with the bank receipt of payment  
to the attention of Euskoiker Foundation

FAX: +34 (9)44153905