Reservation of stage

Stage de vacances BDK à l'étranger

Nombreuses réductions possibles via mutualités et partenaires

Renseignements : +32/(0)63/43.30.49

Versement au compte BDK: 001-4353575-97

IBAN BE54 0014 3535 7597 BIC : GEBABEBB

Children
Name
First name
Birthday / / 19/05/2012
Sexe
Information
Adress
Number
zip code
City
Country
Email address
Telephone (work place)
Telephone (Home)
GSM
Mutuality + Assurance
Name of mutuality
Number of mutuality
Assurance




stage
stage
Balls (I want to buy X ball (s) of the stage to 13 €)
Inscription
I pay the deposit of 150 € + cost of insurance dat
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