First name:
Family name:
Adress:
City:
ZIP:
Country:
Email adress:
Telephone number:
registers for:
date(s):
I read the conditions of cancellation.
I transferred the costs à € ….. to bank account NL41 INGB 0006 9009 29 , BIC: INGB NL 2A (X)/ paid by PayPal (which you find here: donaties).
I register for the following workshops:
1.
2.
3.
4.
Signature
Please send to info@hamakor.nl by copying the form into you email message