Enrolment Form Retreat Poetry and Mind Training (EN)

Enrolment Form Poetry and Mind Training Retreat June 28-July 1 2024 Netherlands

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Name *

E-mail *

Phone Number *

Accommodation and meals. Single rooms are at this moment not available. Please look for the best suitable alternative in the following options. All meals are standard vegetarian. We can take into account vegan, gluten free or lactose free diet requirements. *

€ double room (please add in comments the name of your roommate if you have one, or your gender if you haven't a room mate yet) Please put me on the waiting list for a single room € teachings and meals only (book your own accommodation nearby) € scholarship/reduced option Diet: vegan Diet: lactose free Diet: gluten free

Please make your payment to IBAN: NL78 ASNB 0709129025 BIC: ASNBNL21 Account holder: P van Lammeren. As soon as we have received the payment you will get a confirmation. If you have any questions please write them below: *

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