Pre-registration for TELLConsult (ErasmusPlus) Course #10 Using video to improve learning in & beyond the classroom

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* 1. I would like to (pre)register for day participation in the Course 'Using video to improve learning in & beyond the classroom'
confirmed to be run in the period 22-26 October, 2017 in Amsterdam (Netherlands)

I would like to participate for one day (150 Euro)

I would like to participate for two days (250 Euro)

I would like to participate for three days (300 Euro)

I would like to participate for four days (350 Euro)

Other (please specify)

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* 2. Your full name (first and family name)

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* 3. Your e-mail address

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* 4. Your Nationality

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* 5. Your (mobile) telephone number

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* 6. Which day / date would you like to start?

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* 7. TELLConsult Training will soon send you an invoice for the number of days you opted for. Please confirm that the required payment will be made, ultimately before Monday, 16 October

Yes we plan to duly pay the applicable course fee

Not sure this is feasible for me. Please contact me

Other (please specify)

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* 8. Please confirm that you are aware that your (pre)registration will expire if you have not paid the required course fee as indicated by ultimately Monday, 16 October

Yes, confirmed

Other (please specify)

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* 9. Thank you for your interest in this course. Please add any further comments or questions below, before submitting your data.