Abbey Dance 2010 - 5th Summer School of Baroque Dance
August 8-15, 2010


Enrolment form



Mr    Mrs


Title
First Name
Surname
Date of birth
Post code
Country
Telephone
E-Mail


Kurs
I wish to enrol for the following course:


Dance experience
yes
If yes, what kind of dance experience do you have?
no




Single room (surcharge: 35 € / week)
Double room (I want to share my room with:)



I am a zeitenTANZ member

yes

members: 520 € (under 16s: 400 €)

no

 non-members: 550 € (under 16s: 420 €)
Fees include instruction, accommodation in double room
(single room surcharge: see above), full board, course booklet



I want to become a member:
yes
I will pay the membership fee of € 20,- together with the course fee


no



By remittance of a deposit of Euro 100,- (bank account below) I enrol to the 2010 zeitenTANZ Summer School. Final payment is required by June 30. I understand that in the event of cancellation the deposit can only be returned if the place can be filled.

After June 30, please write to us first to ask for openings and manner of payment.

Bank Austria - Creditanstalt Account No.: 511 068 454 01 BLZ 12000
IBAN = AT05 1200 0511 0684 5401 BIC = BKAUATWW




   If your system is unable to send the form, send your enrolment enquiry to
           → zeitenTANZ

or print your form an send it to our postal address:
Dr. Werner Rumpf, Lobmeyrgase 5-7/2/44, A-1160 Wien.