Registration

Registration form for winter 2017 semester

Please fill in one form per person!

* Required information.

Title *

Surname *

First name *

Email address *

Nationality *

Association *

Institution *

Building *

Office phone

Mobile phone

Private address

Street *

No *

Postal Code *

Town *

Phone *


Subscription details:

MEMBERSHIP CARD €25 + COURSE FEE €80 Total: €105 per person.

The membership card is valid for one semester (i.e. from September to February, or from February to July.) Your registration is effective upon receipt of your payment. New members have the opportunity to try two lessons before deciding to register.

Level: *


Dancing partner (if applicable)

My dancing partner is (Please fill in a separate form for the partner):

Surname

First name


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Disclaimer

* I will not hold the Club EURODANSE and/or the members of its Board financially or otherwise responsible for any accident that might occur during any of the activities organized by the Club EURODANSE and/or its members.

* I have made a transfer to the account of the Club EURODANSE via the details as follows:
BIL IBAN Number:  LU36 0028 1026 8240 0000
BIC code: BILLLULL

Registration details

Payment information

Before you register, please transfer the corresponding amount to the account of the Club EURODANSE:
Bank: BIL.  BIC code: BILLLULL
IBAN: LU36 0028 1026 8240 0000

Association options

  • Official:
    Officials and other servants of the Institutions and other Community Bodies located in Luxemburg (CE, PE, CdJ, CdC, BEI, FEI, CdT, EE)
  • Assimilated member:
    Officials and other servants with a non-active status (retired or other); Seconded National Experts; Teachers at the European School
  • Associated Member:
    Family members dependent from the persons mentioned under 1 and 2; Trainees
  • External Member:
    Other