DANSLESSEN BIJ SANTIAGO DE CUBA

REGISTRATION FORM JANUARY 2024
By filling in the form below, you are officially registering for dance classes at Santiago Dance Studio.

BETALING INSCHRIJVING
NL95 ABNA 0126 8608 82 t.a.v. Santiago de Cuba onder vermelding van uw:
Voornaam, Achternaam, Cursus & Lesdag

PAYMENT REGISTRATION
NL95 ABNA 0126 8608 82 attn Santiago de Cuba stating your:
First Name, Last Name, Course & ClassDay



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Email *
Firstname *
Lastname *
Mobile *
Address *
Postal Code
 *
City *
Which class would you like to enroll? (Level - Day - Time) *

Would you like to enroll in a second class? (Level - Day - Time)
Which dance role would you like to take on? *
How did you find us? *
Comments & Remarks? 
Prices
Regular prices:
- 1 Course: €110,00
- 2 Courses: €175,00
- 3 Courses: €240,00
Payment method
  • Bankoverschrijving: NL95 ABNA 0126860882 t.a.v. Santiago de Cuba onder vermelding van uw: Voornaam, Achternaam, Cursus & Lesdag
  • Bank transfer: NL95 ABNA 0126860882 attn Santiago de Cuba stating your:
    First Name, Last Name, Course & Class Day
Lesrooster Januari tot April 2024
A copy of your responses will be emailed to the address you provided.
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