* 1. I would like to (pre)register for day participation in the Course 'Using video to improve learning in & beyond the classroom' 
confirmed to be run in the period 22-26 October, 2017 in Amsterdam (Netherlands)

* 2. Your full name (first and family name)

* 3. Your e-mail address

* 4. Your Nationality

* 5. Your (mobile) telephone number

* 6. Which day / date would you like to start?

* 7. TELLConsult Training will soon send you an invoice for the number of days you opted for. Please confirm that the required payment will be made, ultimately before Monday, 16 October

* 8. Please confirm that you are aware that your (pre)registration will expire if you have not paid the required course fee as indicated by ultimately Monday, 16 October

* 9. Thank you for your interest in this course. Please add any further comments or questions below, before submitting your data.