14th EFTA-TIC Meeting of Trainers and Supervisors in Lisbon, Portugal

14th EFTA-TIC Meeting of Trainers and Supervisors in Lisbon, Portugal - Registration Form

Extended EARLY BIRD Deadline - August 2nd, 2024
Institute Details:
Name of Institute*

Full NameAcronym (if available)
Address*

Street Address

Street Address Line 2

CityCountry

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Website*
www.website.com

Please note that for each group of three participants, the Institute pays the 'group fee'. For each participant exceeding a multiple of three, the Institute pays in addition the 'extra fee'.

Low-income countries are classified by the World Bank, using the Atlas method.
How many Trainers/Supervisors will participate from your Institute?*
If more than 9 people will participate, please write here how many more.*

Please write below valid contact details, where participants will receive the Conference information:*

For more than 9 participants, please fill in a new form.

Participation fees should be sent by bank transfer directly to:

EFTA-TIC TREASURY
BANK: ING Belgium
Account Holder Name: European Family Therapy Association AISBL
IBAN: BE02 3631 6580 2140
BIC: BBRUBEBB
EFTA Address: rue du Clairon 30/6 - 5503 Sorinnes - Belgique

Please make sure that the name of your Institute appears on the payment and send the transfer slip by email to info@efta-tic.eu / yvain.piketty@gmail.com
Comments:
Thank you for your registration!

European Family Therapy Association Training Institutes’ Chamber

www.efta-tic.eu
Should be Empty:

14th EFTA-TIC Meeting of Trainers and Supervisors in Lisbon, Portugal - Registration Form