Individual Registration

Please enter your information in the form below, to process your registration for AACO02-21 - Drawing & Painting.

Existing user? Please login

New User? Please register

Username*

Password*

Retype password*

First Name *

Last Name *

Address *

Addition

City *

Zip *

Country *

State / Province

Email *

Cellular *

Fill in a phone number, where you are reachable during the courses.

Phone

Fill in at least one phone number.

Account Number (IBAN/BIC) *

Fill in your bank account number in case of refunding.

Gender *

Age *

Needed to place you in the correct group.

Level *

Years of experience or description of your level.

Painting or Drawing *

State what you like to do.

How many days *

State how many days you want to follow this course (pay per day).

Preferences

Description of your preferences in subjects and techniques.

Diet wishes *

Choose optional diet wishes (multiple possibilities, not all are guaranteed).

Reserved lodging by yourself *

How do you arrange your stay? Indicate if you wish to use the fully arranged travel & accommodation service.

Guests (for extra meals)

Mention how many of your guests will eventually join the dinners (like partner, children or friends, who do not follow a course).

Introduction discount

Yes

Receive 5% (extra) discount when you introduce another participant and subscribe at the same time. You can have a reduction on your own subscription only once.

Introduced guest(s) *

Mention the name(s) of your guest(s) who subscribed at the same time, and receive 5% (extra) discount (valid for your own subscription only once).

Special remarks

Payment Information

Amount

€

Tax amount

€

Payment processing fee

€

Gross amount

€

Payment Method *

Bank transfer (invoice) PayPal or Credit Card (external website) iDEAL (Netherlands)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

By registering for this event, I accept Terms and Conditions