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Registration Dutch Course
Would you like to take part in a Dutch course given by Language Institute Regina Coeli at the High Tech Campus in Eindhoven? Register by completing the form below. After you have registered, you will receive a confirmation e-mail.
I would like to register for:
the eight-part weekly Dutch course starting on 14 June at the High Tech Campus
the Smart Dutch Summer School starting on 19 June at the High Tech Campus
Your details
Form of address
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Sir
Madam
First name
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Last name
*
E-mail address
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Telephone
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012-3456789
Email
Organisation
Job title
Invoice information
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Postal address
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Postal code
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1111AA
City
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VAT-number
Your order number
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