Registration for Thistle Club Workshops and Social Ball
October 20, 2018

Wijkcentrum Unitas
5625 RN
Eindhoven, NL
Telefoon (040) 241 91 08

Please fill in one form for each person attending. Navigate through the form by using the TAB button on your computer. An acknowledgement will be sent when the application form has been received.

Personal information
Your details will not be given to third parties.
Name *
Surname first please eg Connolly, Billy (this helps us greatly)
Your answer
Address *
Please include postal code and country.
Your answer
Telephone number *
Please include international code.
Your answer
Email address *
Your answer
Reservations for Lunch *
Price included in Workshop tariff
Reservations for Dinner *
E 15.00
Vegetarian *
Reservations Workshops and Ball *
Payment Options *
Will transfer total amount due to account 92062 (BIC: INGBNL2A, IBAN: NL06 INGB 0000092062) of the Thistle Club of Scottish Country Dancing, in Eindhoven
Special requests
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.