Lls registration form 2014

Page 1

An international conference:

Language learning strategies: Challenges for the future Konin, June 4th-5th, 2014 REGISTRATION FORM Name: ......................................................................................................................................... Academic title: ........................................................................................................................... Affiliation: .................................................................................................................................... ...................................................................................................................................................... Mailing address: .................................................................................................................... ....................................................................................................................................................... Tel./fax: ........................................................................................................................................ e-mail: .......................................................................................................................................... Do you wish to present a paper?

YES

NO

The title of the paper: ................................................................................................................. ..................................................................................................................................................... ..................................................................................................................................................... Equipment required: ................................................................................................................... Special requirements (vegetarian meal, etc.): .............................................................................. ..................................................................................................................................................... Completed registration forms should be returned no later than May 15th, 2014 by email to strategieskonin2014@gmail.com.


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