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Seminar details You want to register for the Your details First name and family name: Sexe M/F: Place: Country:
Your E-mail address: Repeat E-mail address: Please check your email address carefully, we receive too many invalid addresses!
Which was your highest Seminar in Universal Energy 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 click, the field turns blue)
Language The main language is English with a translation into Dutch. (other languages only when your group brings its own translator!)
When you will not listen to Dutch or English, please indicate here which language you wish to listen to
Costs: 300 (course fee, coffee/tea) When paid before 1 February 2018, 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, or via PayPal
If you correctly entered all boxes, click Send. If you want to correct something, type over it or click Reset.
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.