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Enrollment Form

(children)

To enroll in a course:

Download the enrollment form: you can bring it to class on the first day OR send it to info@italiaperpassione.com

          OR

Fill out the form below

ENROLLMENT FORM ONLINE
VACCINAZIONI - vaccins - vaccines
ALLERGIE - allergies
CORSO SCELTO - chosen course - cours choisi
METODO DI PAGAMENTO - payment method - méthode de paiement
MOTIVO DELL'ISCRIZIONE - reason of registration - raison de l'inscription

Thank you, your form has been sent!

Italia per Passione

Chaussée de Boondael 190

1050 Brussels, Belgium

 

Tel: 02 648 00 43

       049 778 5628

info@italiaperpassione.com

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IBAN : BE87 3631 4160 6094

BANK: ING          

BIC : BBRU BEBB

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