cursus gevorderden Section BreakName* First Last Adress* Street Address City ZIP / Postal Code E-mail adress* Phone number*Date of birth* DD dash MM dash YYYY Course preferenceType of Course*Advanced courseCourse block*Winter (Januari - March)Voorjaar 1 (maart - mei)Voorjaar 2 (mei - juni)Zomer (juli - augustus)Najaar 1 (september - oktober)Najaar 2 (november - december)Day of preference* Monday Wednesday Zondag HiddenVoorkeursdag* Zaterdag Start time preference*5:30PM6:30PM7:30PM8:30PMStart time preference*9:3010:3011:3012:30Flexible start time* maximum of 2 hours earlier maximum of 1 hour earlier maximum of half an hour earlier maximum of half an hour later maximum of 1 hour later Select AllAlternative day Monday Wednesday Zondag Alternative start time*5:30PM6:30PM7:30PM8:30PMAlternative start time*9:3010:3011:30Remarks PayTotal Method of payment*Pay by cardDirect debitInvoicePayment MethodiDEAL American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Name accountholder* IBAN accountnumber*
