I would like to register for the following Master Instructor class:  Choose Your Class Granada, Spain - April 21,22 2012 Capelle aan den IJssel, Netherlands - May 19,20 2012 Schoten, Belgium - June 16,17 2012 Flores, Azores, Portugal - September 22,23 2012 Ghent, Belgium - October 13,14 2012 Capelle aan den IJssel, Netherlands - May 4,5 2013 Schoten, Belgium - June, 2013

I would like to register as a: Choose Type of Student Student Repeating Master-Instructor

Name:                   

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

Mailing Address:

Street Address:   

Town:                    

Province/State:   

Postal Code:        

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 by clicking here 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

The class fee is € 635 plus the cost of lunch (for those classes where it is included) if you register more than 30 days in advance of the class. The class fee increases to € 685 plus the cost of lunch (for those classes where it is included) 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.

Please note: due to the current economic situation in Spain and Portugal, we are lowering the cost of the Master's class being offered in Spain and Portugal in 2012.  The cost for that class will be € 595 plus the cost of lunch for early bird, and € 645 plus the cost of lunch when you register within 30 days of the class.

check here if you DO NOT want lunch included on Sat and Sun  (note: for those classes where lunch is offered, it is the most convenient choice)

You can now pay your deposit by credit card, electronic funds transfer (also called internet banking), or PayPal.

(note: we cannot accept cheques directly - but you can pay by cheque via PayPal)

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

 

For students who wish to use PayPal, please use this on-line form and we will email you with the instructions to use for making a payment, or call us at 845-657-7220 (U.S.).  Or you can send us an email, by clicking HERE. When the fund transfer is received you will be registered. You will need to go to their website at www.paypal.com to make the payment.  Note: you can make your PayPal payment by cheque if you wish - so if you would normally prefer to pay directly by cheque, please use this option to pay by PayPal (and then pay them by cheque).

 

For students who wish to pay by making a Euro transfer into our Bank of Ireland Account after receiving your on line registration we will email you with the IBAN and BIC account codes. Or you can send us an email, by clicking HERE.  When the fund transfer is received you will be registered.

Final payments can be made by credit card (we will take final payment one week prior to the class) or by Internet bankieren (electronic funds transfer) or PayPal so that we receive confirmation of payment AT LEAST TWO WEEKS BEFORE THE CLASS DATE. This will streamline the check-in process (no balance due) at the class, and ensure that all classes can begin on time. Note that we cannot accept the final payment by cheque, PayPal or internet bankieren AT THE CLASS.  Some people may remember that we used to accept final balance in cash at the class. Unfortunately, we can no longer do that, so please plan to use PayPal or internet bankieren instead.

I would like to pay my deposit by:   Choose Payment Method Credit Card (Visa or MasterCard) Internet Bankieren (EFT) PayPal (to e-sales@learniet.com)

I would like to pay my balance by: Choose Payment Method Credit Card (Visa or MasterCard) PayPal AT LEAST 2 WEEKS IN ADVANCE Internet bankieren AT LEAST 2 WEEKS IN ADVANCE

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.

If you have selected to pay by credit card, please fill out the payment information below for credit cards (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.

Credit Card information for your payment:

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 Month   Year: 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year