Registration for Thistle Club 40 Year Jubilee
October 27th, 2017
Wijkcentrum Unitas
Vlokhovenseweg,
5625 RN
Eindhoven, NL
Telefoon (040) 241 91 08

Please fill in one form per person attending. Navigate through the form by using the TAB button on your computer. When you have completed the form, send it by pressing enter, or clicking the send button at the end of the form. An acknowledgement will be sent when the application form has been received.

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 Day Workshops
E 20.00
Reservations for Lunch
Price included in Workshop tariff
Reservations for Dinner
E 15.00
Vegetarian
Reservations Evening Ball
Dancer E 25.00 Non-Dancer E 5.00
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
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