Amsterdam SAS Feb 2019 Registration Form
Welcome! We're very glad you are considering this potentially life-changing journey. To reserve your place in this SAS course, please complete this form and send payment or € 519 deposit.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone
Your answer
Skype Handle *
Your answer
Address *
Your answer
City *
Your answer
State (if applicable)
Your answer
Country *
Your answer
Zip Code *
Your answer
Payment
Payment can be made to the following:

Circling Europe B.V.
Sean Wilkinson and John Thompson
VAT number: NL855578154B01
BANK TRANSFER: NL94ABNA0473031590
BIC: ABNANL2A
Bank: ABN AMRO
Bank Address: Gustav Mahlerlaan 10 (1082 PP) Amsterdam, The Netherlands
Business: Circling Europe
Business Address: Staringstraat 50-1
1054-VS Amsterdam, The Netherlands

You can request an invoice by contacting shara@circlingeurope.com

Deposit *
Please select below how you would like to pay the remaining balance. If you are making a request for a payment plan, note there is an admin fee of €10/month and additional fees ranging from €50-€100 if payment is not made on time. *
If you are in need of a payment plan, please share here with us more around what has you making a request for a payment plan. Indicate the term of payment you are requesting, from 2 to 6 months. We use discernment in making these kinds of arrangements; we require a clear agreement with you with commitment and accountability. We will review your application below and be in contact with you about arranging for a payment plan.
Your answer
As you submit this form, please contact either John, Sean or Ellen to schedule your SAS enrollment call. Below are their calendly links for your convenience. Please click an option below to let us know whom you scheduled with, or if you've already completed an SAS context conversation with one of them. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service