Registration Professional Development Workshop 2008

Holland: August 26 - 31

You may either fill in this form and send it electronically with the button "send" or fill it in, print it out and send it by post or fax to:

International Institute for Bioenergetic Analysis (IIBA)
Steinackerstrasse 10
CH-8902 Urdorf-Zurich
Switzerland

Fax: +41 43 455 91 54
 

Date:
Name:
Address:
Telephone:
email:
Local Society:
In training Years in training:
CBT Year of certification:
Local Trainer, Supervisor: Years of teaching:
Interested in IIBA Faculty status
Language and use of English
Interest in getting picked up at the train station Nijmegen CS
 
Workshop and accomodation
Single room:   Track 1: € 765  Track 2: € 865  Track 3: € 965
Double room: Track 1: € 717  Track 2: € 817  Track 3: € 917
 
Workshop including Lunch and Diner
Track 1: € 540   Track 2: € 640   Track 3: € 740
 
Workshop including Lunch
Track 1: € 450   Track 2: € 550   Track 3: € 650

 

Please send 50 % deposit REQUIRED with your registration.

Balance due by July 15, 2008

 

You have three payment possibilities:

By bank wire: (please make sure no costs occur for the beneficiary)

Beneficiary:

IIBA (Schweiz), CH-8902 Urdorf

Account#:

91-989215-8

IBAN:

CH28 0900 0000 9198 9215 8

SWIFT:

POFICHBEXXX

Name of  Bank:

Swiss Post, PostFinance, CH-3030 Bern

Check: The currency of the check has to be in Euros without deduction of any issuing charges. Please make the check payable to: The International Institute for Bioenergetic Analysis, Urdorf-Zurich, and mail it to the Swiss office ( see above address)

credit card:

Visa/Mastercard, #:

expriy date:

cvv (3 last digits of the number where you signed the card)

Amount:

Name on the card:

 

Cancellation policy:

Cancellations prior to July 1 will have a € 150 service charge deducted.

Cancellations between July 1 and August 1 will have a € 250 service fee.

There will be no refund after August 1, 2008.

Please fill in all fields. In case of any questions or comments, please use the field below: