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REGISTRATION FORM

 Surname :
………………………………………………. 

Name :
………………………………………………………….. 

Address :
……………………………………………………………………………………………………………………….. 

Email
:
……………………………………………………………………………………………………………………………. 

Telephone
: ………………………………… 

previous level followed :
……..  

Date
:……………….
I
am registering for level :…………  

and/or for the meeting on
(date) ……………………….(*) 

This registration form can be sent to the following email address : contact@transmissionvibratoire.com

Your registration will
be final
on
reception of your payment by cheque
(please make payable to
Pascal LEFEVRE
or to the authorized individual)
) or of your transfer payment to the postal address below or
to that of the authorized individual
:

(*
please make separate payments if possible).

 


35
avenue Pasteur
93290 Tremblay-en-France
Tél :
+33 (0)6 73 29 68 52

 

 

  Prices : 100 £ for the 3 first levels

 

Attached documents