Name         Gender   
City             Country      
Email         Tel:   


Deposit of 50 % (€ 325 - auditors € 125) will be paid via:
Moneygram (code)
Western Union (code) within one week after registration.
Payable to    Hendrikus Jeurissen, Graafseweg 108,6512 CH, Nijmegen, Netherlands

Cash
Bank (for eu-members only) you will get the accounts with the confirmation

I will pay € 325 (auditors:€ 125) cash on Monday August 25th (check the box)
I will need a sleeping spot at el corte (not for auditors!):   yes     no
DON'T FORGET TO BRING YOUR SLEEPING STUFF

EXTRA:
I teach about hours a week.

Within two weeks I will send you an email with a little story about my current tango teaching activities. A teaching photo will be included.

Remarks & food preferences: