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Faerie Rebirth Gathering 2017 Booking Form Monday 10th till Monday 17th April* Netherlands
Dear Faeries, we hope to meet you at the gathering.
More information http://faerierebirthgathering.blogspot.nl

*Arrival Monday April 10th from 2 pm on, leaving Monday April 17th before 5 pm

Please transfer your payment to:
Contribution: bank account NL71 ASNB 0942499026 made payable to M.J.W. van Weeren
Stating: Rebirth Gathering 2017 and your full name
BIC code: ASNBNL21(ASN Bank)

Email address *
My Name (first and surname please) *
Your answer
Faerie Name
If you have one (optional)
Your answer
Other contact information
Your name, faerie name and email will be included in a contact list. Please list here any other contact website/blog/facebookname that you would also like listed.
Your answer
Date of Birth (for astrology map of gathering)
MM
/
DD
/
YYYY
Country you currently living in *
Your answer
Telephone number
Please let us know the phone number you'll be travelling with to the gathering. If your number is outside the Netherlands please include the country code.
Your answer
Select the nights you're staying *
It's preferably to stay for the whole week (7 nights) or at least 3/4 nights, please fill in the nights you are staying
Required
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