Ven. Khenpo Chenyang : VAJRAYOGINI
7 - 15 July/Juillet/Juli/luglio 2018
Please see the information document for details / Pour les détails, voyez svp le document d'information / Einzelheiten entnehmen Sie bitte dem Informationsdokument / Per maggiori dettagli, cfr. la scheda informativa.
Titel/Civilité/Titel/Titolo *
Your answer
Last name/Nom/Name/Cognome *
Your answer
First name/Prénom/Vorname/Nome *
Your answer
Address/Adresse/Adresse/Indirizzo *
Your answer
Phone no./No. de tél./Tel.-Nummer/No. di tel.
Your answer
E-mail/E-mail/E-mail/E-mail *
Your answer
Membership fee for 2018 (15 €)/Cotisation pour 2018 (15 €)/Mitgliedsbeitrag für 2018 (15 €)/Quota associativa per il 2018 (15 €) *
Participation/Participation/Beitrag/Contributo *
Means of payment/Moyen de paiement/Zahlungsmittel/Metodo di pagamento *
(*1) Account / Compte / Konto / Conto
(*2)
Please pay before 30/6/2018 / Veuillez régler avant le 30/6/18 / Bezahlung bitte bis 30/6/18 / Gentilmente da pagare entro il 30/6/18
Donation/Don/Spende/Donazione
Your answer
Language of texts/Langue des textes/Sprache der Texte/Lingua dei testi *
Wish to rent headphones (only for FR, DE, IT)/Souhait de location d’écouteurs/Wunsch Kopfhörer zu mieten/Volete noleggiare le cuffie (12 €) *
Lunch/Déjeuner/Mittagessen/Pranzo *
YES
NO
8/7/2018
9/7/2018
10/7/2018
11/7/2018
12/7/2018
13/7/2018
14/7/2018
15/7/2018
Dinner/Diner/Abendessen/Cena *
YES
NO
7/7/2018
8/7/2018
9/7/2018
10/7/2018
11/7/2018
12/7/2018
13/7/2018
14/7/2018
Please pay upon arrival for meals / Veuillez régler les repas lors de votre arrivée / Bezahlung bitte bei Ankunft für Mahlzeiten / Gentilmente da pagare al vostro arrivo per i pasti
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