INSTITUTIONAL MEMBERSHIP FORM

•	Full name of the institution

____________________________________________________________________________

Member of IATEFL SLOVENIA  since __________      new

The institution is involved in the teaching of (please tick )
 pre-school young learners  elementary  pupils
			 secondary students	  tertiary students  adults
 others (please specify) ________________________

•	Contact person

First name ____________________ Family name ____________________

The IATEFL SLOVENIA institutional membership fee for the school year 2007/2008 (expires 31 August 2008) amounting to 210 EUR entitles the institution to member rates at all the events organised by IATEFL SLOVENIA for three of the members of their English-language teaching staff, three sets of at least 2 issues of the IATEFL SLOVENIA Newsletter IN, three sets of 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 groups, 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, for any of the three members of their English-language teaching staff participating in the event.

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 the institution to register three of its employees for the participation in the events and activities organised, as well as the materials prepared by the selected special interest group(s).

•	Full Address

School/Institution/Company _____________________________________________________

Address _____________________________________________________________________

Postcode and Town ____________________________________________________________

Telephone _____________________________ Fax  _________________________________

E-mail ______________________________________________________________________

•	Members of the English-language Teaching Staff

First name _____________________________ Family name __________________________

First name _____________________________ Family name __________________________

First name _____________________________ Family name __________________________

First name _____________________________ Family name __________________________

First name _____________________________ Family name __________________________

First name _____________________________ Family name __________________________

First name _____________________________ Family name __________________________

First name _____________________________ Family name __________________________

First name _____________________________ Family name __________________________

First name _____________________________ Family name __________________________

Address to be used for IATEFL SLOVENIA announcements and correspondence with members (please tick ): 	 (A) E-mail Address: _______________________________________
			 (B) 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.