BULGARIAN ENGLISH TEACHERS’ АSSOCIATION

/An Associate of IATEFL/ www.beta-iatefl.org

22nd BETA-IATEFL Annual International Conference

NON-SPEAKER REGISTRATION FORM

OPENNESS AND CONNECTEDNESS:

EXPLORING THE LANDSCAPE OF ENGLISH LANGUAGE TEACHING IN THE MODERN WORLD

21st – 23rd June 2013, Varna, Bulgaria

Venue: Department for Information, Qualification and Lifelong Learning – VARNA, Shumen University,

Address: Varna, 1 Dr. Boris Bozhkov Street /”Pochivka” bus stop/

Please, replace ¨ with x where relevant

PERSONAL DETAILS
Title / Ms ¨ / Mr ¨ / Dr ¨ / Prof ¨ / Prof Dr ¨
Forename and Surname
Institution/Affiliation, Position
Contact address (street, number, town and postcode, country)
Telephone / Mobile
Fax number / E-mail address
REGISTRATION FEES
(Include access to plenary sessions, talks, workshops, forum presentations, and promotional sessions; attendance certificates; coffee breaks; conference reception; conference brochure, proceedings /online version/)
BETA Membership as at 1st March 2013 / Yes ¨ / No ¨
Method of payment – bank transfer / Payment before 31st May 2013 / Payment after 31st May 2013
BETA Member / 30 BGN / 35 BGN
Non-Member of BETA / 60 BGN / 65 BGN
Teacher from the region of Varna, Shumen, and Dobrich / 30 BGN / 35 BGN
Full-time student / 20 BGN / 25 BGN
Full-time student from the region of Varna, Shumen, and Dobrich / 10 BGN / 15 BGN
Bank transfer should be made to: Banka DSK, Financial Center Ruse, 7000 Ruse, Bulgaria, IBAN: BG75STSA93000001682951; BIC STSABGSF; Poluchatel (Beneficiary): БАПА (BAPA), Osnovanie za plashtane: Conference registration fee 2013
I WOULD LIKE AN INVOICE / Yes ¨ / No ¨
IF YES, we would need the following information:
Институция (Institution)
Адрес (Address)
Булстат (VAT No)
ИН по ДДС
МОЛ

*As proof of payment, please remember to bring the original bank transfer document to the registration desk upon arrival.

**Please note that only a regular receipt will be issued against on-site cash payment. In case you need an Invoice, make sure you 1) have provided the Invoice details above, and 2) have transferred the fee into BETA's bank account.

***Refunds for conference registration fees are subject of administration fee of 10 BGN. No refunds will be issued for cancellations made after 21st May 2013.

I would like ACCOMMODATION in the DIQLL HOSTEL (http://www.ittd.acad.bg/?open=struct&kat=hostel) booked by the Organizing team / Yes ¨ / No ¨
IF YES, we would need the following information:
Type of room / Price for the room per night / Select / Number of nights
Apartment / 50 BGN / ¨ / 20.06 ¨ 21.06 ¨ 22.06 ¨
Single room / 30 BGN / ¨ / 20.06 ¨ 21.06 ¨ 22.06 ¨
Two-bed room / 40 BGN / ¨ / 20.06 ¨ 21.06 ¨ 22.06 ¨
Three-bed room first category / 57 BGN / ¨ / 20.06 ¨ 21.06 ¨ 22.06 ¨
Three-bed room second category / 48 BGN / ¨ / 20.06 ¨ 21.06 ¨ 22.06 ¨
Four-bed room / 60 BGN / ¨ / 20.06 ¨ 21.06 ¨ 22.06 ¨
I’ll share the room with

PLEASE NOTE THAT PAYMENT HAS TO BE MADE IN BULGARIAN LEVS DIRECTLY TO THE HOSTEL UPON ARRIVAL.

We strongly recommend booking your accommodation as early as possible; otherwise, we are not able to guarantee room availability. Please notify us by e-mail as soon as possible about changes or cancellations of your reservation, so that we can offer accommodation to another colleague.

For other accommodation options, please read theAccommodation and Travel Guide.

PLEASE RETURN THE COMPLETED FORM

TO