REGISTRATION FORM

Fill in this registration form and send it...

PERSONAL DATA
NAME
ADDRESS
ZIPCODE / PLACE
COUNTRY
TEL
E-MAIL
DATE OF BIRTH
 
WORKSHOPS

All concerts / presentations of ILV are free to the workshop participants.
The language of the workshops is English.

  Workshop Period Hours/day Price
29-31.03.12 2,5 75 EUR
29-31.03.12 2,5 75 EUR
01-03.04.12 2,5 75 EUR
01-03.04.12 2,5 75 EUR

Registration for all 4 workshops: 4 x 75 = 300 EUR.

Your registration will only be confirmed after we have received your registration fee on our account.

Please transfer to our Bank Account at Triodos Bank: BE21 5230 8032 8203, BIC/SWIFT: TRIOBEBB

Branch address: Hoogstraat 139 bus 3, 1000 Brussel

Please mention as remark: Registration ILV BRUGGE + Full name.

The Payment must be received at least two weeks after subscription, otherwise your registration will be cancelled.