closed ongoing group led by Silvija Tomcik
22-24 March (Leuven - Belgium)
28-30 June (Leiden - Netherlands)
19-22 September (Residential)
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Telephone Number *
Your answer
City, Country *
Your answer
Prices Per module *
Your online booking includes a non-refundable deposit with a value of 70€ in case of your cancellation!!! PLEASE SEE DEPOSIT STATEMENT BELOW! You can pay by bank transfer or cash at your registration on Friday evenings.
Bank Transfer Information
Please be aware that bank fees will be charged for each transaction. All bank costs need to be paid by you, so that we receive the exact amount of your price! Thank you!

Acccount: BE67 0837 0116 3287
Bank Name: Belfius
Name: Chris Camp

If you need an invoice, please give us all your details to be able to make an invoice
Your answer
Deposit Statement *
In case of my total cancellation before the 1st module (for whatever reason) I need to pay a cancellation fee of 70€ before 22.3.2018. In case I am not able to participate in one of the three modules (for whatever reason), I have to pay 70% of my price for that module. (Working Team members 70% of full price.)
If there are any questions coming up, please don't hesitate to ask before submitting this form! Thank you! ...please email to:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms