Information / subscription for workshops in 2010


First name :


Surname / Family name :


Adress :

Number :

City and mailcode:  

Phone number:

E-mail adress:




I want to join:


workshop 1 (Sunday 20 june untill Friday 25 june 2010)                             350.- euro
workshop 2 (Sunday 27 june untill Friday 2 july 2010)                                350.- euro
workshop 3 (Sunday   4 july untill Friday 9 july 2010) (complete !!)            350.- euro
Two workshops nbr.    and nbr.     (to see above data)        600.- euro

Extension possible; please contact us.

I want to participate in a workshop for one or more days                              60.- euro/day
I want further information:


  payment:                          bankcash

Or send this form by mail to:

Els Smulders- Waijers
Berkenlaan 16
5175 BM Loon op Zand
The Netherlands
+31(0)416362476

Bankrelation:
BIC: RABONL2U
IBAN: NL59 RABO 0124 8788 30


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