Inscription au Jeûne 2018

    Captionless Image

    Coordonnées

    This is a required question
    This is a required question
    Must be a valid email address
    This is a required question
    This is a required question

    Captionless Image

    Réservation

    Virement (40€/personne, 70€/couple) au plus tard le 6 mars 2018 au N° de compte IBAN BE63 0016 2721 4608 de Jeûnons ensemble en précisant Nom et Prénom du jeûneur.
    Must select at most 1 options.
    This is a required question
    Must select at most 1 options.
    This is a required question
    This is a required question

    Contact détails

    Merci de préciser vos coordonnées.
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Captionless Image
    voir nom du village en haut de page
    This is a required question