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Register for seminar by Gabina Macounova

You can register as a participant by completing the form below.
You're registration isn't final before we've received payment and you've received confirmation from Club Veerle.

The club has the right to limit the number of dogs and participants that can participate in the seminar.
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Payment
You can pay using the account number below and adding the following reference: Seminar - participant name

IBAN: BE29 0013 2869 3064
BIC: GEBA BE BB



    Registration form


    day / month / year

    Format: day/month/year

    BH, SchH 1/2/3, FH,...
    BH, SchH 1/2/3, FH,...

Register

Register by email

If you'd rather register by mail you can use the following email address: florver@skynet.be

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Please provide us with the following information:
- Participant name
- Address
- Phone number

If you're bringing a dog: 
- Breed
- Birth date (of your dog)
- Certificates (BH, SChH 1/2/3, FH,...)

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Kringgroep Veerle
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2431 Veerle