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)
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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 isnt 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:
20041 01007 1253404U038 59
La Poste Lyon Jean Macé France
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: