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Name |
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Initial(s) |
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Addres |
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Telephone |
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Fax |
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E-mail |
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Date of visit to Christmas market |
(dd-mm-yy) |
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Number of Passes (€ 9,00 each - minimum of 1):
Total amount: €
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Method of
payment: |
by invoice |
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payment in cash on collection at Valkenburg office |
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payment by credit card on collection at Valkenburg offcie |
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Distribution: |
by post forehand |
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to be collected at Valkenburg office on (dd-mm-yy)
between 10.00 and 16.00 |
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Coach arrangements: |
in possession already |
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please send |
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I would like further information about: |
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I would like to be kept informed about group-based activities in the South Limburg region: |
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I hereby agree to and confirm my order: |
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