Registration form for Balkan Festival Workshops Zetten 2010

Mr. / Mrs. / Miss  
Address:  
   
Postal code-City-Country:  
Tel. no.:  
E-mail:  

 

The due payment of € 82,50 should be deposited, after 1 January 2010, into:

account number (ING Bank) 4647453
of Dans School Forom
Aarhuispad 22
3067 PR Rotterdam
The Netherlands

For payments from abroad please mention:

ING BANK,
IBAN: NL61 INGB 0004 6474 53 and  BIC: INGB NL2A

 

He/she would like to rent a bed in the sleeping-hall, including breakfast at € 15.00 per night per person. O YES O NO
He/she would like to make use of the sleeping-hall+breakfast facilities at € 11.00 per night O YES O NO
He/she would like to camp at € 5,- per person per night. O YES O NO
He/she would like to camp with his/her own caravan/camper at € 6.50 per night per person. O YES O NO
He/she would like to join the BALKAN DINNER at € 15.50 on Saturday night. O YES O NO
Vegetarian O YES O NO

 

Payment for accommodations will be made upon arrival.

 

Date:  
Signature: