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Seminar details You want to register for the Your details First name and family name: Sexe M/F: Address: Zipcode: Place: Country: Date of birth (dd/mm/yyyy): Profession:
Your E-mail address: Repeat E-mail address: Please check your email address carefully, we receive too many invalid addresses!
Which and when was your highest Seminar in Universal Energy (we may ask you to show your certificate) Date (dd/mm/yyyy): Level: None 01 HUE Basic 02 HUE Intermediate 1 03 HUE Intermediate 2 04 HUE Advanced 1 05 HUE Advanced 2 06 HUE Special 1 (OP123) 07 HUE Special 2 (L19) 08 HUE Special 3 (L20) (choose and confirm with 1 cllick, the field turns blue)
Language The main language is English with a translation into Dutch. (other languages only when you bring your own translator!)
Costs: 300 (course fee, coffee/tea) When paid before 1 March 2017, you pay only 250
Payment Course fee: When sending this registration form online, you also confirm that you have sent your money transfer order to your bank, in favour of the SHY-Holland bank account, IBAN nr. NL57 RABO 0143 9890 30, BIC: RABONL2U
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If you do not receive a confirmation within a few days by email, something might have gone wrong. In that case please contact SHY-Holland directly by phone or email, to verify your subscription.