A FORM FOR INFORMATION, APPLICATION AND/OR COMMENT
   
  J.C. van der Wal  
  Postbus 1157  
  6201 BD Maastricht  
 

Name

 
Address  
City/town Postal code  

Country

 
   

O     I ask for the mailing of a detailed folder about the course EMBRYO IN MOTION.

O     I like to participate in a course.

Below you can eventually indicate in which one of the the shortly planned courses you are interested in in particular. The data of the courses can you find by clicking on the tab "Course" and further "Agenda of courses". That will only count as a tentative application without obligations. You will receive nearer information from us about the exact time and place and about the possibility to subscribe to the course more definitively by means of paying a small amount of registration fee.

 

O    I am interested in organizing a course *

For which kind of target group?  *  

 

Where (town/country)?  
In which period?  Year:     Month:

* By this is meant that you have in mind a certain place or institution and/or target group, for whom (which) you think a course might be interesting. In that case you will be considered to be the contact person for the regarding course. This means that you will organize facilities and room and will recruit customers. If desired this recruitment may be supplied by the general recruitment that is organized for those courses by the course suppliers themselves (mailing, this website, advertisement, and so on). The costs of those activities may then be negotiated in the course fee that is established later on.

I would like to make the following remarks / give the following comment on the site and/or the course (facultative):