Inschrijfformulier voor Trainingen

"*" indicates required fields

Course

Options

Details

Payment Method

Overview

This field is hidden when viewing the form

cursusid

This field is hidden when viewing the form

taal

This field is hidden when viewing the form

Eventid

This field is hidden when viewing the form

startdatum

This field is hidden when viewing the form

einddatum

This field is hidden when viewing the form

cursusdagen

This field is hidden when viewing the form

examen

This field is hidden when viewing the form

DeelnameExamen

This field is hidden when viewing the form

prijs

This field is hidden when viewing the form

btwbedrag

This field is hidden when viewing the form

prijsexamen

This field is hidden when viewing the form

prijstotaal

This field is hidden when viewing the form

prijstotaal incl admin

This field is hidden when viewing the form

btw 21

This field is hidden when viewing the form

btw 9

This field is hidden when viewing the form

opties totaal

This field is hidden when viewing the form

prijstotaaladminkosten

This field is hidden when viewing the form

opties plus admin

This field is hidden when viewing the form

gekozen opties

This field is hidden when viewing the form

Gekozen opties samenvatting

This field is hidden when viewing the form

prijskorting

This field is hidden when viewing the form

prijsincexamen

This field is hidden when viewing the form

locatienaam

This field is hidden when viewing the form

locatiestraat

This field is hidden when viewing the form

locatiehuisnr

This field is hidden when viewing the form

locatiepostcode

This field is hidden when viewing the form

opleidingsnaamkaal

This field is hidden when viewing the form

Opleidingsnaam

This field is hidden when viewing the form

locatieplaats

Course dates

Options

Er zijn geen aanvullende opties beschikbaar voor deze opleiding.

EN: Examen

examen

keuze_mod_1

IPMA D Theorie examen door IPMA Certificeren(€ 700)

This field is hidden when viewing the form

oms kort 1

This field is hidden when viewing the form

prijs 1

This field is hidden when viewing the form

btw 1

This field is hidden when viewing the form

oms adm 1

This field is hidden when viewing the form

prijs 1 adm

This field is hidden when viewing the form

btw 1 adm

keuze_mod_2

This field is hidden when viewing the form

oms kort 2

This field is hidden when viewing the form

prijs 2

This field is hidden when viewing the form

btw 2

This field is hidden when viewing the form

oms adm 2

This field is hidden when viewing the form

prijs 2 adm

This field is hidden when viewing the form

btw 2 adm

keuze_mod_3

This field is hidden when viewing the form

oms kort 3

This field is hidden when viewing the form

prijs 3

This field is hidden when viewing the form

btw 3

This field is hidden when viewing the form

oms adm 3

This field is hidden when viewing the form

prijs 3 adm

This field is hidden when viewing the form

btw 3 adm

keuze_mod_4

This field is hidden when viewing the form

oms kort 4

This field is hidden when viewing the form

prijs 4

This field is hidden when viewing the form

btw 4

This field is hidden when viewing the form

oms adm 4

This field is hidden when viewing the form

prijs 4 adm

This field is hidden when viewing the form

btw 4 adm

keuze_mod_5

This field is hidden when viewing the form

oms kort 5

This field is hidden when viewing the form

prijs 5

This field is hidden when viewing the form

btw 5

This field is hidden when viewing the form

oms adm 5

This field is hidden when viewing the form

prijs 5 adm

This field is hidden when viewing the form

btw 5 adm

Personal information

Participant information, a new form must be filled out for each enrollment.

Title*

Mr.

Mrs.

Initials*

Name*

Date of Birth*

Address

If applicable, a hard copy book will be sent to this address.

This field is hidden when viewing the form

Postal code*

This field is hidden when viewing the form

Huisnr*

This field is hidden when viewing the form

Toevoeging

Address in the Netherlands?

PC API address*

Postal code House number Addition Street City

This field is hidden when viewing the form

Uw adres

Contact information

We will use this information for correspondence regarding the course.

Email adress*

Phone number*

Additional details

Information for the trainer (all data will be handled confidentially).

Job title

Expectations related to the course

Course details

Name :

{opleidingsnaamkaal:7}

Venue :

{lokatie:19}

City :

{lokatieplaats:23}

Course dates :

{cursusdagen:12}

Price :

€ {prijs:16},- (excl. B.T.W.)

Examengeld :

€ {prijsexamen:17},- (excl. B.T.W.)

Deelname examen :

{deelnameexemanextra:91}

Gekozen opties :

{gekozenopties:142}

Prijs opties :

{gekozenopties:134} (excl. B.T.W.)

Total price :

{prijsincexamen:133} (excl. B.T.W.)

Participant details

Initials :

{voorletters:36}

Name :

{naam:30.3} {naam:30.4} {naam:30.6}

Date of birth :

{geboortedatum:37}

Address :

{adres:136.4} {adres:136.2}{adres:136.3}
{adres:136.1}, {adres:136.5}

Email :

{email:44}

Phone :

{telefoon:45}

Job Title :

{functie:47}

Expectations :

{verwachting:48}

Payment Details

Name organisation

{organisatie:62}

{purchase:135.1:value}

Purchasing order code

{factuurkenmerk:63}

Adres

{straat:143.4} {huisnr:143.2}{toev:143.3}
{postcode:143.1}, {plaats:143.5}

Billing Email Address

{adres:65}

Finally

Do you have any further comments and/or special needs related to disabilities, dietary requirements, religious beliefs (prayer room), breastfeeding, or anything else?

Comment

How did you find us?

Phone

This field is for validation purposes and should be left unchanged.

Questions about your choice?
Call our advisor:
070-3970723

Course dates

Options

Personal information

Address

Contact information

Additional details

Organization Address Information

Payment Details

Different Billing Address

Contact Person Details

Course details

Participant details

Payment Details

Finally