Inschrijven 2007 UK

Registration Form

2007

- please select the button of your choice -

The undersigned :	Ms. Mrs. Mr. required
Last Name :	required
Initials :	required
First Name :	required
Address :	required
Zipcode :	required
City :	required
State :	required
Country :	required
Date of birth (dd-mm-yyyy) :	required
Occupation :
Telephone number :	required
Fax number :
E-mail address :	required
How did you find us? :	required
	Fill in the below,when this is the invoice address:
Company name :
Invoice address : (if not the same as above)
Zipcode :
City :
State :
Country :

...hereby registers for the following Course:

IMPORTANT

With this form you can only register for one course at a time.

If you would like to register for more than one course,

please fill out the form again.

- please select the button of your choice -

Hand Tied Bouquet Course (English spoken)

	Course code	Starting Date	Ending Date	Price
	HBI1D-2007	7 March	8 March	� 190,-
	HBI2D-2007	15 August	16 August	� 190,-
	HBI3D-2007	11 October	12 October	� 190,-

Please select the bullet Master Creations (English spoken)
�nd the Course code(s) of your choice...

	Course code	Master	Date	Price
	MCI1D-2007	Dorien Roling	Monday 2 July	� 195,-
	MCI2D-2007	Moniek Vanden Berghe	Tuesday 3 July	� 195,-
	MCI34D-2007	Wally klett	4 and 5 July	� 390,-
	MCI5D-2007	Petra van der Veen	Friday 6 July	� 52,50
	when you book all four Master Creation days, you will receive �40,- discount on Friday 6th.

1-week Advance Bridal Floral-Work Course (English spoken)

	Course code	Starting Date	Ending Date	Price
	GBI1D-2007	12 November	16 November	� 950,-

Afternoon Christmas Course (English spoken)

	Course code	Starting Date		Price
	KTN1M-2007	8 December	Christmas Cascade	� 45-
	KTN2M-2007	9 December	Christmas Ajour wreath	� 45-
	KTN3M-2007	10 December	Christmas table decoration	� 45-
	KTN4M-2007	11 December	Christmas Cascade	� 45-
	KTN5M-2007	12 December	Christmas Ajour wreath	� 45-
	KTN6M-2007	15 December	Christmas table decoration	� 45-
	KTN7M-2007	16 December = Full	Christmas Cascade	� 45-
	KTN8M-2007	17 December	Christmas Ajour wreath	� 45-
	KTN9M-2007	18 December	Christmas table decoration	� 45-
	KTN10M-2007	19 December	Christmas Cascade	� 45-
	KTN11M-2007	20 December	Christmas Ajour wreath	� 45-
	KTN12M-2007	21 December	Christmas table decoration	� 45-
	KTN13M-2007	22 December = Full	Christmas Cascade	� 45-
Christmas Course (English spoken)
	KAI1D-2007	13 December	14 December	� 190,-

Professional Dutch Floral Design Certificate Courses

In total 6 Modules of 5 days each (English spoken)

	Course code	Starting Date	Ending Date	Description	Price
	VO111-2007	12 March	16 March	Module 1	� 950,-
	VO112-2007	27 August	31 August	Module 1	� 950,-
	Course code	Starting Date	Ending Date	Description	Price
	VO221-2007	19 March	23 March	Module 2	� 950,-
	VO222-2007	3 September	7 September	Module 2	� 950,-
	Course code	Starting Date	Ending Date	Description	Price
	VO121-2007	12 March	23 March	Module 1 to 2	� 1.800,-
	VO122-2007	27 August	7 September	Module 1 to 2	� 1.800,-
	Course code	Starting Date	Ending Date	Description	Price
	VO341-2007	26 March	10 April	Module 3 to 4	� 1.800,-
	VO342-2007	10 September	21 September	Module 3 to 4	� 1.800,-
	Course code	Starting Date	Ending Date	Description	Price
	VO561-2007	11 April	24 April	Module 5 to 6	� 1.800,-
	VO562-2007	24 September	5 October	Module 5 to 6	� 1.800,-
	Course code	Starting Date	Ending Date	Description	Price
	VO141-2007	12 March	10 April	Module 1 to 4	� 3.550,-
	VO142-2007	27 August	21 September	Module 1 to 4	� 3.550,-
	Course code	Starting Date	Ending Date	Description	Price
	VO361-2007	26 March	24 april	Module 3 to 6	� 3.550,-
	VO362-2007	10 September	5 October	Module 3 to 6	� 3.550,-

6-weeks Professional Dutch Floral Design Diploma Course (English spoken)

	Course code	Starting Date	Ending Date	Description	Price
	VO161-2007	13 March	25 April	Module 1 to 6	� 5.300,-
	VO162-2007	27 August	5 October	Module 1 to 6	� 5.300,-

3-weeks Advanced Dutch Floral Design Diploma Course (English spoken)

	Course code	Starting Date	Ending Date	Price
	VVI1D-2007	15 May	8 June	� 3.150,-

3-weeks Master Course in Dutch Floral Design (English spoken)

	Course code	Starting Date	Ending Date	Price
	VMI1D-2007	11 June	29 June	� 3.650,-

Private Lessons in Dutch Floral Design (English or Dutch)

	Course code	Number			Date		Date
	PRIVATE-2007				dd-mm-yyyy		dd-mm-yyyy
		Number of days:		from:		to:
		Number of persons (max. 4):

Lessons for Organised Groups (English or Dutch)

	Course code	Number			Date		Date
	GROUPS-2007				dd-mm-yyyy		dd-mm-yyyy
		Number of days:		from:		to:
		Number of persons (min. 10):

Do you wish to make reservations for a Boarding House?

					Date		Date
	reguired				dd-mm-yyyy		dd-mm-yyyy
	Yes	Number of nights:		from:		to:
	No
	Flight schedule	Arrival date:				Departure date:

Do you prefer smoking or non-smoking in the Boarding house?

	I prefer smoking.
	I prefer non-smoking.
	I do not really care.

Are you a Vegetarian?

	Yes, I am a Vegetarian.
	No, I am NOT a Vegetarian.

Please check if the choices you made are correct before you register definitely.

By clicking on the REGISTER button below you agree with the terms and conditions of

Boerma Instituut.