Elisad meeting 2001 registration form
 
 

• I will participate to the 2001 Elisad annual meeting in Stockholm

(October 25, from 1.00 to 5.00 and October 26, from 9.00 to 5.00)
 
 
 

Name / surname
Organization:
Street address 
Code / town 
Country
Phone
Fax
Email
Website

 

I will participate to the workshop :

(Please set the following three lines in your preference order)

1: Use and evaluation of prevention websites for young people

2: Use and evaluation of prevention tools in documentation centres

3: Ethical and political aspects of providing information to young people

• I will be present, as an Elisad member, at the Members’ General Assembly, on Saturday 27 October morning (from 9.00 to 1.00)

(Please delete the wrong answer)

YES NO
 
 

Registration rules

• The meeting is free of charge for one member who paid its membership before 31 July 2001

• A registration fee of 50 Euro is requested for any participant whose membership isn't paid before 31 July 2001.

• A registration fee of 50 Euro is requested for a second participant of the same organization.

• A registration fee of 200 Euro is requested for non-members.

• Your registration will not be taken into account as long as your payment isn’t confirmed by our treasurer.

See ways of payment next page

How much should I pay?

There are three different annual membership fees:

• Euro 120 for a member or organization situated within Europe

• Euro 80 for a member or organization situated out of Europe

• Euro 40 for SALIS members situated out of Europe

To your membership fee, you will have to add a registration fee of :

• Euro 50 if your membership fee is not paid before 31 July 2001

• Euro 50 per other person of your organization participating in the meeting

If you just want to participate to our meeting, without being a member,you have to pay:

• Euro 200 as a registration fee.

Now, what is my situation?

• My membership has already been paid for year 2001: yes no

• My membership will be paid before the deadline of 31 July 2000: yes no

• I doubt that my organization will be able to pay before deadline: yes no

• A second person of my organization will participate: yes no

Name of the second person:

• So the total amount (add your membership fee + 50 E for late payment if it will be your case + 50 E per other participant from your orgnaization) I will have to pay is, in Euro :

How can I pay?

1 – Bank or postal cheque to :

Mrs Marie-Pierre Belmondo – c/o Toxibase

14 avenue Berthelot – 69007 Lyon - France

2 – In case the first solution is not possible, wire/transfer to our Elisad postal account:

Etablissement Guichet Account number Key

20041 01007 1253404U038 59

La Poste Lyon Jean Macé – France
 
 

Date of this registration :

Date of your payment :
 
 

This filled form has to be sent by email, in an attached file titled "YourName.doc" (ex: "Singer.doc") simultaneously to 2 addresses: