You want to register for the
name and family name: Sexe M/F:
Address: Zipcode: Place: Country:
Date of birth
E-mail address: Please check your email address
carefully, we receive too many invalid addresses!
when was your highest Seminar in Universal Energy (we may ask
you to show your certificate)
Date (dd/mm/yyyy): Level:
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
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
Payment Course fee:
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.