Gwangju KOTESOL Year-End Party 2014

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Please complete this form and then transfer funds (11,000 won KOTESOL per member, 13,000 won per non-member) to our chapter's account:
* Bank: KB (Kookmin / 국민은행)
* Account number: 773901-01-454950
* Name on account: Herron Lindsay Noel (K)

Name *

Email address *

We'll use this only if there's a problem.

How many member tickets are you buying? *

11,000 won each; KOTESOL members only

No member tickets

1 Member ticket (11,000 won)

2 Member tickets (22,000 won)

3 Member tickets (33,000 won)

Other:

How many non-member tickets are you buying? *

13,000 won each

No non-member tickets

1 Non-member ticket (13,000 won)

2 Non-member tickets (26,000 won)

3 Non-member tickets (39,000 won)

Other:

How many children's tickets are you buying? *

8,000 won each; ages 6-11

No children's tickets

1 children's ticket (8,000 won)

2 children's tickets (16,000 won)

3 children's tickets (24,000 won)

Other:

Total amount you're transferring *

Bank from which the money will be sent *

Name on the account from which the money will be sent *

Date on which the money will (probably) be sent *

Any questions or comments?

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