Registration 5-day foundation class Jin Shin Jyutsu, Anita Willoughby

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Date: 3-7 Juni 2020 (wo-zo)
Location: Fletcher Hotel Leidschendam-Den Haag

Please contact us via (+31) 611417677 of mschauten@hotmail.com

Email *

First and last name *

Name company *

if you want an invoice on the company's name

Adress *

Mobile phone *

Is this your first 5 day foundation class Jin Shin Jyutsu ? *

Yes

Required

Do you participate in the entire 5 days foundation class Jin Shin Jyutsu? *

Yes

Part 1 ( first 3 days of the 5 days foundation class )

Part 2 (last 2 days of the 5 days foundation class )

Do you want to spend the night at the Fletcher Hotel Leidschendam-Den Haag *

Single room €99- Double room € 115,-, breakfast included

Yes and Marna makes a reservation for me for 1 person under the name specified on this form

Yes and Marna makes a reservation for me for 2 persons under the name specified on this form

No thank you

Required

If you like me to reserve a room, please give me the exact days and dates you want to stay in the hotel.

In order to update you on the next steps you'll need to agree to be added to my email list. You'll find my privacy policy at https://marna.nu/en/privacypolicy *

I agree and want to be informed on the next steps

I don't want to be added to your email list and will therefore not be updated on next steps

Required

Send me a copy of my responses.

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