REGISTRATION FORM
SEMINAR with Lewis B. De Quiros on 19-20-21 jan. 2018 in Brugge Belgium

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Questions
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Subscription for

Seminar





Accommodation  (rooms are for 4 persons, if you prefer a room for 2 persons please fill in roommate name)

Breakfast and Lunch




Dinner


Party


Total amount:

Payment must be done before january 1.

Total amount if you pay BEFORE 1 DECEMBER:

Registration is only valid after payment.
Ichi Rei Aiki-Dojo - IBAN BE 67 7370 3851 3487 - BIC KRED BE BB