Registration form / Registratieformulier
By filling this in, you agree on us using your information exclusively for correspondence between Dutch For You Too and you, for certificates, invoices, schedule and homework issues.
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*
Your Family Name *
Your Email Address *
Phone / mobile number (for schedule & homework issues) *
Have you reached a certain level in Dutch / English ? *
( more information at the section Courses in the menu bar on our website )
Place of Birth (necessarily for your certificate) *
Country of Birth (necessarily for your certificate) *
Please tell us which course you wish to take *
Date of birth (necessarily for your certificate) *dd-mm-yyyy e.g. 23-06-1964 *
Nationality (necessarily for your certificate) *
Postal Address ( place of actual residence ) *
Postal Code ( postal code of actual residence ) *
City ( place of actual residence ) *
Country ( country of actual residence )
How did you hear about us initially? *
Required
Anything else you might wish to tell us:
REGISTRATION (find our terms of trade below) *
Required
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