Booking for a group workshop

If you want to plan a themed workshop, the agenda shows you which theme is available regarding the date of your booking.

You are*		Name of Company
Last name *		First name *
Adress		Citye
ZIP code		Country
Phone		Mobile phone *
E-mail *		Fax
Invoice address (if different)		Requested booking date (Careful : workshops at 10:30, 12:15 PM, 2:00 PM and 4:15 PM only) *

Request 1 *	Themed workshop *	Preferred schedule *
Participants *	Certificates	(1,50€/certificate)	Please fill the names in the comment section
Request 2 *	Themed workshop *	Preferred schedule *
Participants *	Certificates	(1,50€/certificate)	Please fill the names in the comment section
Request 3 *	Themed workshop *	Preferred schedule *
Participants *	Certificates	(1,50€/certificate)	Please fill the names in the comment section
Request 4 *	Themed workshop *	Preferred schedule *
Participants *	Certificates	(1,50€/certificate)	Please fill the names in the comment section

All fields with * must be completed.