REGISTRATION FORM FOR UNIVERSAL ENERGY SEMINARS
Courses in "Human and Universal Energy (H.U.E.) after Mr. Luong Minh Dang®"
are given in the Netherlands by recognized instructors under the responsiblity of SHY-Holland.
SHY-Holland is a legitimate partner of HUE-Faculty, Inc. in Saint Louis, Missouri - U.S.A.

All fields required!

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: (choose and confirm with 1 cllick, the field turns blue)

Language
The main language is English with a translation into Dutch. Other translations may be possible.
Choose here the language (if not English ore Dutch) you prefer to hear:
(other translations only when you bring your own translator!)

Costs: 300 € (course fee, coffee/tea) When paid before 1 February 2015, 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

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.