Application for a TaeBo® Training Course / Workshop
Please fill in the form below and mark the necessary boxes.
Then print the form and send it by fax to the following number:
+ 49 / (0) 62 02 / 27 51 - 15


Please do not forget your signature.
Please read our General Terms and Conditions.


IFAA GmbH

Essener Straße 12
D-68723 Schwetzingen

Germany

Normal fee Individual IFAA member
Payment by check Fee is to be deducted from my bank account

Name of the participant:
Date of birth:
Title of the Course:
Course begins on:
Venue:


Invoice address

Name / Studio:
Street:
Zip code / City:
Country:
Phone / Fax:
Mobil phone / E-mail:
Date of birth:

Date/Signature:




Direct debit authorization (optional)
I hereby authorize IFAA GmbH to deduct the fee for participating in the
IFAA GmbH course from the account indicated below.

Account holder:
Account number:
Bank:
Bank sorting code:

Date/Signature:






Important:
Your application can only be considered if you grant us a
direct debit authorization or if you enclose a check with your application form.