Sign up Form

First Name*

Last Name*

E-mail*

Mobile / Telephone*

Nationality*

Sign up for a Nia experience*

Leiden Libertango Studio 17.15 - 18.30 Start 27 august
Random lessons 'strippenkaart' (valid from 27 August 2010)
5x lessons 60 (student: 50) (valid 2 months)
10x lessons 95 (student: 85) (valid 3 months)
Single lesson 12,50
First time Nia - first lesson free if you buy a 5/10 lesson card within the same week

Wednesday 19.00 in Alphen - see www.bodymindalphen.nl proefles 8 euro, of maandabbonnement

Thursday 19.30 in Leiden: Course 12 x Leidse Volkshuis: sign up online www.bplusc.nl start 23 aug /
9 aug 19.30 Workshop sign up online www.bplusc.nl

Tuesdays 17.45 in Leiden: Course LAKTheater - sign up online 16 august 12.00 www.laktheater.nl

Current Tango student Libertango*

yesnowould like to learn

By filling out this form you confirm your reservation (cancellation fee of 50% after submitting this form)*

pay cash at studiotransfer to R.W.Conradie Leiden 484283618my random lesson card is still valid

I would like to receive monthly e-mail newsletter about Nia

yesno thanksonly events

Questions?

Sign up for a Nia experience!