REGISTRATION
SCULPTING, DRAWING AND PAINTING

 

Name:     Initials:              mf
E-mail: Age:
Street / post box:     Place

 
Country:
Telephone number:

Course:

 		Sculpting 
Drawing
Painting 
Location:
Country:
Date of the course:
Full board:
Meals:

 		Diet 
Vegatarian
Date:
Transport:
Comments:


Signature

You can also print this form and send it to:

Atelier de Beeltenis
Atelier De Beeltenis
Naberpassage 5
9712 JV Groningen
Nederland
telefoon: +31 (0)50 542 0739
email: info@atelierdebeeltenis.nl
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