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1. Your details:
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Name:
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Address (street+number):
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Postalcode:
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City:
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Country:
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Email:
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Phone #1 (fixed)
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Phone #2 (mobile)
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Above details on contact list? :
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2. Your co-counseling background:
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I have had my fundamental co-counseling training.
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My fundamentals teacher(s) was/were:
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Number of years I have been practising co-counseling:
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years
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Is this my first CCI:
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3. Booking Main event: (25-31 July 2027)
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Please book as soon as possible so that we can make our reservation at Nieuw Allardsoog final. Pricing details:
Discounts and surcharges:
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€ -25, Early Birds discount if deposit is payed before February 15th (no discount for single rooms)
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€ +30, Late booking surcharge if the full amount is not payed after May 15th.
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Your preferred reservation:
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NOTES: If you need financial support for joining this event, contact our treasurer (see above)
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4. Payments:
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Payments are to be transfered to the following bank account
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IBAN: NL47 TRIO 0320 0605 86
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BIC: TRIONL2U
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TO: CCN-CCI betaalrekening
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Description: CCI 2027, followed by your name
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Does a discount or surcharge apply to your booking?
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The total amount I will pay is:
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Euro
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Now, I will make a down payment of (at least €250):
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Euro
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Later on, I will transfer the remaining amount of:
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Euro
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Your booking can only be confirmed when a deposit of 250 Euro has been received, but you may pay the full price at once as well. The full price has to be received before May 15th, 2027
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5. Food:
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Preferred meals:
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I have medical diet restrictions:
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My medical diet restrictions are:
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6. Room sharing:
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Room sharing (only for double rooms):
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specify person (optional):
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if you have specified someone, make sure it has been agreed with the other person!
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7. Additional remarks:
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If you need a stay before or after the CCI, you can write it here.
If you have an offer for a stay at your home before or after the CCI, you can write it here as well.
We will share this information among all participants, so that each of you can make arrangements yourself.
You may also write here any other remarks relevant for the organizing team.
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