Tango classes Nijmegen - Tango Entero

1Indicate your choice

2Your personal data

3Personal data dance partner

4Mailings preference

5Check and submit

We / I like to register for the following lesson(s):

Monday 19:30 - 20:45 beginner

Monday 20:45 - 22:00 advanced

Friday 19:30 - 20:45 beginner

Friday 20:45 - 22:00 intermediate

Name*

first name family name

Place of residence*

E-mail address:*

Phone number*

Are you a student or minimum benefit recipient?*

Yes, fulltime student

Yes, minimum benefit recipient

Would you like to register your dance partner also?*

yes

no, my dance partner will register himself / herself

I don't have a dance partner yet

You have indicated that your dance partner will register himself / herself.
We would like to know who your dance partner is. Please fill out the name of your dance partner.

If you don't know his / her name, for example because you just met during a trial lesson, then please indicate 'unknown'.

Name dance partner*

First name Family name

Place of residence dance partner*

E-mailadres dance partner*

Phone number dance partner*

Student or minimum benefit recipient?*

Yes, fulltime student

Yes, minimum benefit recipient

Do you want to receive our mailings?*

I'm already on your mailing list

yes, please (about once a month)

only about the lessons

Below is the information that you have given.
Please check the data and then click the submit button.
If you want to change anything, please click 'previous'.

questions or remarks:

Please pay the course fee within three days after registration, and before the start of the course.

Transfer the payment to bank account NL58 INGB 0005 0127 12, to the attention of RPM Heeskens (BIC=INGBNL2A).

The costs per person of the courses are €160,00 | minima €125,00 | students €90,00

Registration tango classes Nijmegen