……………………………..REGISTRATION FORM

 

Surname : ………………………………………………. 

Name : ………………………………………………………….. 

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

Email :

Phone number : ………………………………… 

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 transfert payment
(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 :

 

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

  Prices : 100 £ for each of the 3 first levels