Registration Form 2008 UK

Registration Form

2008

- 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:

After sending this form, you can use the back space button.

Then you just select the course button again.

- Select the Course button of your choice -

Hand Tied Bouquet Course (English spoken)

	Course code	Starting Date	Ending Date	Price
	HBI1D-2008	21 February	22 February	� 197,50
	HBI2D-2008	8 May	9 May	� 197,50
	HBI3D-2008	5 June	6 June	� 197,50
	HBI4D-2008	12 August	13 August	� 197,50

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

	Course code	Starting Date	Ending Date	Price
	GBI1D-2008	21April	25 April	� 1.000,-
	GBI2D-2008	17 November	21 November	� 1.000,-

Table Arrangement Course, 3 afternoons (Duch spoken)

	Course code	Starting Date	Ending Date	Price
	TAN1M-2008	Friday 16 May	Friday 30 May	� 142,50
	TAN2M-2008	Friday 24 October	Friday 7 November	� 142,50

Christmas Course (day, afternoon or evening)

	Course code	Starting Date	Day time	Price
	KTN1A-2008	10 December	evening	� 47,50
	KTN2A-2008	11 December	evening	� 47,50
	KTN3A-2008	12 December	evening	� 47,50
	KTN1D-2008	13 December	day	� 97,50
	KTN1M-2008	14 December	afternoon	� 47,50
	KTN2D-2008	17 December	day	� 97,50
	KTN4A-2008	17 December	avond	� 47,50
	KTN5A-2008	18 December	avond	� 47,50
	KTN3D-2008	19 December	day	� 97,50
	KTN2M-2008	20 December	afternoon	� 47,50

Professional Dutch Floral Design Certificate Courses

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

	Course code	Starting Date	Ending Date	Description	Price
	VO111-2008	3 March	7 March	Module 1	� 1.000,-
	VO112-2008	25 August	29 August	Module 1	� 1.000,-
	Course code	Starting Date	Ending Date	Description	Price
	VO221-2008	10 March	14 March	Module 2	� 1.000,-
	VO222-2008	1 September	5 September	Module 2	� 1.000,-
	Course code	Starting Date	Ending Date	Description	Price
	VO121-2008	3 March	14 March	Module 1 to 2	� 1.900,-
	VO122-2008	25 August	5 September	Module 1 to 2	� 1.900,-
	Course code	Starting Date	Ending Date	Description	Price
	VO341-2008	17 March	1 April	Module 3 to 4	� 1.900,-
	VO342-2008	8 September	19 September	Module 3 to 4	� 1.900,-
	Course code	Starting Date	Ending Date	Description	Price
	VO561-2008	2 April	15 April	Module 5 to 6	� 1.900,-
	VO562-2008	22 September	3 October	Module 5 to 6	� 1.900,-
	Course code	Starting Date	Ending Date	Description	Price
	VO141-2008	17 March	1 April	Module 1 to 4	� 3.750,-
	VO142-2008	25 August	19 September	Module 1 to 4	� 3.750,-
	Course code	Starting Date	Ending Date	Description	Price
	VO361-2008	17 March	15 april	Module 3 to 6	� 3.750,-
	VO362-2008	8 September	3 October	Module 3 to 6	� 3.750,-

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

	Course code	Starting Date	Ending Date	Description	Price
	VO161-2008	3 March	15 April	Module 1 to 6	� 5.600,-
	VO162-2008	25 August	3 October	Module 1 to 6	� 5.600,-

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

	Course code	Starting Date	Ending Date	Price
	VVI1D-2008	14 May	3 June	� 3.300,-

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

	Course code	Starting Date	Ending Date	Price
	VMI1D-2008	9 June	27 June	� 3.800,-

Private Lessons in Dutch Floral Design (English or Dutch)

	Course code	Number			Date		Date
	PRIVATE-2008				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-2008				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:
How did you find us?

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

	I prefer smoking.
	I prefer non-smoking.
	I do not mind if there are smokers in the house.

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.