Request edit access
Zurich SAS 2018-2019 Registration Form
Welcome! We're very glad you are considering this life-changing journey. To reserve your place in this SAS course, please complete this form and send payment or € 500 deposit.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone
Your answer
Skype Handle *
Your answer
Address *
Your answer
City *
Your answer
State (if applicable)
Your answer
Country *
Your answer
Zip Code *
Your answer
Payment
Payment can be made to the following:

Circling Europe B.V.
Sean Wilkinson and John Thompson
VAT number: NL855578154B01
BANK TRANSFER: NL94ABNA0473031590
BIC: ABNANL2A
Bank: ABN AMRO
Bank Address: Gustav Mahlerlaan 10 (1082 PP) Amsterdam, The Netherlands
Business: Circling Europe
Business Address: 15 Egelantierstraat
Utrecht, 3551GA

You can request an invoice by contacting shara@circlingeurope.com

Deposit *
Please select below how you would like to pay the remaining balance. If you are making a request for a payment plan, note there is an admin fee of €10/month and additional fees ranging from €50-€100 if payment is not made on time.
If you are in need of a payment plan, please share here with us more around what has you making a request for a payment plan. Indicate the term of payment you are requesting, from 2 to 5 months. We use discernment in making these kinds of arrangements; we require a clear agreement with you with commitment and accountability. We will review your application below and be in contact with you about arranging for a payment plan.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms