Registration

I hereby register for the following classes of Tanzbrasil November Workshop 2018 with Ivan Vasconcellos:
(please select one ore both classes)

Candomblé
Afrobrazil & Samba

I can attend only 1 day (please select the day)
      Saturday:    Sunday:

The fee for the workshop is:
  95,- € for one class on both days (Candomblé or Afrobrazil & Samba)
160,- € for two classes on both days (Candomblé + Afrobrazil & Samba)
  55,- € for one class on one day (Candomblé or Afrobrazil & Samba)
  95,- € for two classes on one day (Candomblé + Afrobrazil & Samba)


First name:
Name:
Street/No.:
Postal code:
City:
Phone:
Email:
Comment:


Please fill in completely !

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