INDIVIDUAL MEMBERSHIP FORM

•	Personal Information

First name ____________________ Family name ____________________

Member of IATEFL SLOVENIA  since __________      new

I teach (please tick ) 	 pre-school young learners  elementary  pupils
			 secondary students	  tertiary students  adults
 others (please specify) ________________________

The membership fee for the school year 2007/2008 (expires 31 August 2008) amounting to EUR 40 (only valid for residents of the Republic of Slovenia) entitles me to member rates at all the events organised by IATEFL SLOVENIA, at least 2 issues of the IATEFL SLOVENIA Newsletter IN, free issues of English Teaching Forum, the right to vote at the annual general meeting and other similar events organised by IATEFL SLOVENIA, free membership in IATEFL SLOVENIA special interest group(s) of my choice, as well as special offers made by exhibitors during the events or those advertised in the IATEFL SLOVENIA Newsletter IN and the participation at special events, such as raffles.

I am (please tick )  an undegraduate student, residing in the Republic in Slovenia. As such, I am entitled to the student membership fee amounting to EUR 20 (expires on 31 August 2007). The address of the institution at which I study will be given as my office address.

The membership in IATEFL SLOVENIA is automatically renewable and ceases only upon the receival of the written statement sent and signed by the member to the IATEFL SLOVENIA postal address or in accordance with other provisions of the IATEFL SLOVENIA statute.

•	Membership in Special Interest Groups (SIGs)

I wish to become a member of  (please tick ) 	 Computers and Media SIG
 Literature and Cultural Studies SIG	 Young Learners SIG

My membership in the above-ticked special interest group(s) is free of charge and entitles me to participate in the events and activities organised, as well as the materials prepared by the selected special interest group(s).

•	Home Address (A)
__________________________________________________________

Postcode and Town ____________________________________________________

Telephone ____________________________ Fax  ___________________________

E-mail _______________________________________________________________

•	Office Address (B)

Affiliation (School/Institution/Company)___________________________________________

Address ______________________________________________________________

Postcode and Town ____________________________________________________

Telephone _____________________________ Fax  ___________________________

E-mail _______________________________________________________________

Address to be used for mailings (please tick ):  (A) Home Address      (B) Office Address
 
Address to be used for IATEFL SLOVENIA announcements and correspondence with members (please tick ): 	 (A) E-mail Address: _______________________________________
			 (B) Home Postal Address      (C) Office Postal Address	

Date _______________________________ 	Signed  _________________________________

The completed membership forms will serve for the compilation of the IATEFL SLOVENIA members' data base and will ease the communication between the association and the members.

Send this application to:		IATEFL SLOVENIA
					p. p. 1677
					SI-1001 Ljubljana

For further information contact IATEFL SLOVENIA on 041 907065 or write to info@iatefl.edus.si.