Registration

I hereby apply for the following autumn course 2015 with Ivan Vasconcellos:
(one ore more courses can be selected)

Friday courses Munich

Afrobrasil & Samba (beginner)
Afrobrasil & Samba (advanced level)

Monday courses Munich

Afrobrasil & Samba (beginner)
Camdomblé - Dance of the deities

The fee for one course is:
150,- € for 10 classes,
250,- € for two courses (Afrobrasil & Samba plus Candomblé - 20 classes),


First name:
Name:
Street/Nr.:
Postal code:
City:
Phone:
e-mail:
Remark:


Please fill out completely !

The fee I will transfer to Tanzbrasil, account (Konto) 88159488 at the Stadtsparkasse München, BLZ 70150000, IBAN: DE11 7015 0000 0088 1594 88, BIC: SSKMDEMM.