I would like to register for the following Master Instructor class:  Choose Class Schoten, Belgium - June 21,22 2008

Name:                   

Name as you would like it to appear on your certificate (if different from above):

Mailing Address: 

Town:                    

Province/State:   

Postal Code:        

Country:                  if another country, type over this entry

Telephone number where we can reach you if we have any questions: 

Email address (for electronic confirmation of your registration): 

Note:  Master Instructors who are repeating the class don't need to fill in this section.  Please skip to the bottom of the form to fill in your payment information.

I have completed the following levels to date:    Basic        Intermediate        Advanced

I have taken these classes with (if more than one Master-Instructor, please list all):

If you have not yet completed the pre-requisite Basic, Intermediate, and Advanced level classes, please give dates and name of Master-Instructor you are scheduled to take them with:

Basic: 

Intermediate: 

Advanced: 

STUDENTS

To register for a class on-line, you must submit a credit card (Visa or MasterCard only).  You can also register (not on-line) with electronic funds transfer (contact us by phone or email) or you can register with cash through Mieke Michielsen (see below).

The class fee is € 659 including lunch if you register more than 30 days in advance of the class. The class fee increases to € 709 including lunch if you register within 30 days.  A deposit of  € 210 is required to reserve your space in any class.  This deposit will be returned in full (or applied to a future class if you prefer) if you cancel more than 30 days in advance; otherwise, the full deposit is forfeited.

In an effort to simplify the registration process, we are asking that all final payments (the remaining balance) be received at least 2 weeks prior to your class date if paying by bank transfer. For credit cards, we will take the final payment 1 week prior to the class.  If you wish to pay your balance by cash, please bring the exact amount to the class in a white envelope with your name on it. This will streamline the check-in process and ensure that all classes can begin on time.

Please fill out the payment information below (or you can call us to register at 845-657-7220). The class will be registered in the order in which the deposits are received.  For registrations received after the class is filled, no charge will be made to your credit card, and your name will be placed on a waiting list.

You can now pay by electronic funds transfer, credit card, or cash! 

For students who wish to use a credit card (Visa or MasterCard), please use this on-line form or call us at 845-657-7220 (U.S.).

For students who wish to use cash, we have arranged for cash deposits to be made to our representative, Mieke Michielsen, who can be reached at 03/658.65.96.

For students who wish to pay by making a Euro transfer into our Bank of Ireland Account please contact The Center of Being for IBAN and BIC account codes. You can send us an email, by clicking HERE.

Please check-off one of the two choices below:

I authorize payment of my deposit now, from my credit card information below.  I also authorize my final payment to be made from this credit card one week before the class begins.

I authorize payment of my deposit now, from my credit card information below.  I will pay the balance in cash at the class (in a white envelope with my name on it).

Note: Your deposit is fully refundable if you cancel more than 30 days in advance.  Your deposit is non-refundable if cancellation occurs less than 30 days in advance.  Your final payment is fully refundable if you do not attend the class.

REPEATING MASTER-INSTRUCTORS

IET Master-Instructors may, space permitting, retake any Master-Instructor class for a fee of € 119 including lunch, if you register more than 30 days in advance.  The price increases to € 129 including lunch if you register (and  space is available) within 30 days of the class.  We will have 5 spaces reserved for repeating Master-Instructors with additional space if fewer than 15 students register.  When filling spaces, priority will be given to Master-Instructors who have not reviewed before.

Your payment in full is used to reserve your place in the class and is non-refundable if you cancel less than 30 days in advance.  It is fully refunded if you cancel more than 30 days in advance.

I am a Master-Instructor and wish to repeat this class, and authorize full payment from my credit card (now)

Type of credit card: Visa Master Card CreditCard Type

Name (as it appears on credit card, only if different from above):

Credit card number:

Expiration Date:   Month: Jan Feb Mar April May June July Aug Sept Oct Nov Dec   Year: 2007 2008 2009 2010 2011 2012 2013 2014 2015

Students or Repeating Master Instructors, if you have any questions or comments about your registration, feel free to send us more information below.

Comments:

You will receive a written confirmation letter

Please note: we can only charge your credit card in US dollars. Therefore, when we take a deposit or final balance in Euros, we translate the amount into $US using that day's official currency conversion so that your credit card will be charged the appropriate amount in Euros.  Due to variations in currency conversion rates that individual credit card companies use, you may be charged a few Euros higher or lower than the desired deposit.  Please let us know if your credit card is overcharged, and we will make an adjustment. Thank you.