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THE INTERNATIONAL ASSOCIATION FOR INTERCULTURAL COMMUNICATION STUDIES
Formulario de inscripción al 10º Congreso Internacional
[10th International Meeting Registration Form]

Regular $ 70
A partir del 21 de junio [After June 21, 2004] $ 85
Estudiantes o esposos que acompañan a ponentes [Students or Spouses] $35
Nota: (El banquete se incluye en el precio de inscripción)
Note: (Banquet is included in the registration cost)
Membership to the International Association for Intercultural Communication Studies (Includes a subscription to the International Journal of Intercultural Communication Studies)
1 año calendario [1 calendar year] 2 años calendario [2 calendar years] 3 años calendario [3 calendar years]
$ 50 USD $ 95 USD $ 135 USD
Porte postal (si requerido)/Airmail rates (if desired)
$10 USD $20 USD $30 USD
Precio para estudiantes/Student Rate: $30 USD por año calendario/[$30 USD per Calendar Year] (Se requiere copia de carnet estudiantil/With valid copy of student id)
Total
Apellidos [Last/Family Name]:
 Nombres [Given Name]:
Filación académica: [Academic Affiliation]: [Título] Title or Position:
Dirección completa: [Address Location and City]:

País: [Country and Country Code]:
Dirección de correo electrónico: e-Mail address:
Payment method: check credit card

If paying by credit card, provide the following information:

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Credit Card Number:

Expiration Date: /
Imprima este formulario y envielo por fax o correo a
[Print out this membership form and mail it or fax it to]
Dr. Bates L. Hoffer, IAICS | Trinity University, # 418
| 715 Stadium Drive San Antonio, Texas 787212-7200 USA
FAX: 210-999-7578