Kinesiologie en acupunctuur van de emotie

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Kinesiologie en acupunctuur van de emotie - registration form

Please fill out the complete form. The fields marked with * are mandatory.
Within 10 working days you will receive a confirmation from us by e-mail and invoice.

4/5 November 2023 and 2/3 December 2023

Title

Mr.

Mrs.

Mss.

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First name *

Last name *

Address *

Postal code *

City *

Country *

Email address (please fill out correctly the form because of the automated processing of your registration) *

Phone (please fill out the phone number correctly so we can reach you on a course day as well in case of calamities) *

Profession of Education *

Acupuncturist

Herbalist

Tuina therapist

Shiatsu therapist

Qigong therapist

Student acupuncture

Student Chinese herbs

Student tuina

Student shiatsu

Student qigong

Other:

Required

Association *

ABZ Mitte

BAF

DAU

Eufom

FAGT

ICCM

LVNT

NAAV

NOAG

NVA

NVDT

NVST

NVT

NVVM

NWP

SBO-TCM|OPS-MTC

SNVA

Shiatsu Vereniging Nederland

VBAG

VNRT

Zhong

Other:

Required

Costs €746

I will transfer this amount no later than 2 weeks before the start of the course to ING number 6870037
in the name of International Lectures, Harderwijk, the Netherlands
IBAN: NL22 INGB 0006870037
BIC: INGBNL 2A

I will pay €756 in 2 terms

Yes

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I agree to the General Terms *

Click here to download the General Terms

Yes

No (if you don't agree to the General Terms, we won't be able to process your registration)

If you register within 14 days before the start of the course, you agree that the reflection period applies until the moment the course has started.

Yes

No (I will contact International Lectures so that my registration can still continue under agreed conditions)

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I grant International Lectures permission to store the information I have entered in the International Lectures administration. International Lectures gets my permission to use this data exclusively as indicated in the "Privacy Statement & Policy" (see the website of International Lectures). *

Yes

No (if you don't grant International Lectures permission to store the information you have entered, we won't be able to process your registration)

I agree to receive the mailing of International Lectures. (You only need to fill in this box if you don't receive our mailings yet.)

Yes

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