MASTERY IN MASCULINITY, 13-15 Nov, NL/BE/D

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Please use this form to register for ONLY ONE PERSON. If you are also registering other persons, please register them separately. If you wish to share a room with another person, please indicate that in the comments box.

Please make a non-refundable registration deposit of €50 to Vlierhof immediately after you have registered. This deposit will go towards your accommodation expenses when you join.

Only 20 participants are taken into the retreat. So if registration is closed before Vlierhof receives your deposit, your deposit will be returned to you.

First Name *

Last Name *

City

Country *

E-mail address *

Mobile

ACCOMMODATION PREFERENCE *

This retreat is offered on a 'COST + DONATION' basis. You may choose your accommodation preference below. The prices shown below includes 2 nights sleeping, your meals, refreshments and facility costs.

Camping (€100)

Dormitory (€110)

Double-shared room (€140)

Single room (€170)

ANY DIETARY RESTRICTIONS?

COMMENTS:

CANCELLATION TERMS *

We understand that unforeseen circumstances may sometimes stand in the way of your participation. In case you are unable to join the retreat, we offer you the possibility to arrange your replacement, or we will donate your deposit to the charity www.saigramam.org. Thank you for your understanding.

I agree with the above terms.

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