BASA - Bulgarian American Studies Association: Registration Form

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EXECUTIVE BOARD Управителен съвет на БАА CHARTER Устав	Registration Form Download Registration Form (RegForm.doc) BASA Bulgarian American Studies Association БАА Българска асоциация по американистика София 1000, бул. Цар Освоодител 15, Софийски университет “Св. Климент Охридски”, етаж 5, каб. 161 , тел. 02 9308429 E-поща/E-mail: mdanov@hotmail.com Sofia 1000, 15 Tzar Osvoboditel Blvd. The St. Kliment Okhridski University of Sofia Floor 5, Office 161, Tel.. ++ 359 2 9308429 BASA Member Registration Data Form Name _____________________________________________________ Title: _____________________________________________________ Position: ___________________________________________________ Department :________________________________________________ Faculty: ___________________________________________________ Institution: _________________________________________________ Office address: ______________________________________________ Telephone/Fax: ______________________________________________ E-mail: ____________________________________________________ Website: __________________________________________________ Home address: ______________________________________________ Telephone: _________________________________________________ Cell Phone: _________________________________________________ Membership: _______________________________________________ Major publications (a short list): __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ Special interests: __________________________________________________________ __________________________________________________________ __________________________________________________________ The Registration fee (Membership dues) is currently 15 Leva and shall be collected 21-22 November 2003 during our America in the 21st Century BASA conference. You may use this form to apply for membership. Please contact Dr. M. Danova – Secretary and Treasurer, at the BASA address, or Y. Kosturkov ykosturkov@hotmail.com
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BASA Bulgarian American Studies Association
Sofia 1000, 15 Tzar Osvoboditel Blvd.
The St. Kliment Okhridski University of Sofia
Floor 5, Office 161
Tel.. + 359 2 9308429