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Nijmegen application form

for information about the courses, please have a look at the curriculum

 

Tango courses Nijmegen January - May 2018


name:  
family name:  
street and number.:  
place of residence:  
e-mail:
 
phone number:  
mobile phone:  
discount:
student or minimum benefit recipient?: no
yes, minimum benefit recipient
yes, full time student
 
     
  Dance partner  
name:

Leave this empty:

 
family name:  
street and number.:  
place of residence:  
e-mail:
 
phone number:  
mobile phone.:  
discount:  
student or minimum benefit recipient?: no
yes, minimum benefit recipient
yes, full time student
 
     
   
Click on the course you want to participate in:

beginner course - Monday 19.30 - 20.45
advanced course - Monday 20.45 - 22.00

beginner course - Tuesday 19.30 - 20.45
intermediate course - Tuesday 20.45 - 22.00

 
     
date:  
     
remarks or questions:
   

 

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Please transfer the course fee to our bank account: IBAN number NL58 INGB 0005 0127 12, RPM Heeskens.

For international transfers outside of SEPA: BIC: INGBNL2A. Name and address: RPM Heeskens, Lenardstraat 18, 6533DL Nijmegen, Netherlands.

Bank address: ING Bank N.V., Foreign Operations, PO Box 1800, 1000 BV Amsterdam.