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| Title |
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| Forename |
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(*) |
| Surname |
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(*) |
| Street |
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(*) |
| Number |
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(*) |
Box |
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| Zipcode |
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(*) |
| City |
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(*) |
| Country |
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| Tel. |
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| Fax |
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| E-mail |
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| Birthdate |
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(*) (DD/MM/YYYY) |
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(*) Required
fields |
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| I would like to take part in the
following course(s) : |
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Summer courses 2009 |
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Binche - 2nd year
Binche - 3rd year
Fine Bruges Flowerwork - 1st year
Fine Bruges Flowerwork - 4th year
Contemporary Lace - basic course
Contemporary Lace - Master Class
Welding and Stitching of Lace
Mechlin Lace - 2nd year
Mechlin Lace - Master Class
Needlepoint Lace - 1st and 2nd year
Lace Design on the Computer - 1st year
Lace Design on the Computer - 2nd year
Point de Lille - 2nd year
Rococo Lace
Torchon Lace- 1st year
Torchon Lace - 2nd year
Request for a low budget lodging (only for summer
courses):
Please reserve me a low budget lodging |
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like to settle with (a) : |
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Postal money order via
000-0273122-67
(De Post in Belgium) |
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IBAN: BE93 0000 2731 2267
BIC: BPOTBEB1 |
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Transfer on account 001-4696514-44
(Fortis Bank Belgium) |
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IBAN:
BE55 0014 6965 1444
BIC: GEBABEBB
Gaston
Roelandtsplein 18, B-8310 Bruges (Assebroek) |
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Visa |
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- Expiry date
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| Remarks : |
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- Please do not send cheques.
- Cancellations are allowed at the latest one month
before start of the course, with a fee of 30,00 EUR.
- All course prices are net prices.
Costs for bank transfers or other costs are not included
in these prices. Therefore use the IBAN and BIC codes
to reduce the transfer costs.
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