Registration

I hereby apply for the following classes of the Tanzbrasil Summer Workshop 2015 with Ivan Vasconcellos:
(one ore both classes can be selected)

Afrobrazil & Samba - beginners
Afrobrazil & Samba - intermediates

I participate only for 2 days (please select the two days)
      Friday:    Saturday:    Sunday:

The fee for the workshop is:
120,- € for one class,
200,- € for both classes (beginners and intermediates),
95,- € for two days,
158,- € for two days/two 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.