Study Centre

Course registration

I would like to register the following course; I understand that this is a legally binding declaration.
Please see our course conditions.

Course name *

Course number

Course date *

	Send copy of certificate by mail
	A copy of the certificate at the training centre
	Only for BOBATH course: send copy of basic course certificate by mail

	Bank transfer: St.Galler Kantonalbank, CH-9001 St.Gallen BC 78112 Konto: 12*10 003.941-08 IBAN: CH-4700781121000394108

	Credit card

Last name *

First name *

Street *

Postcode/City *

Date of birth *

Profession *

Phone *

Fax

E-Mail *

Company

Postcode/City company

* Required fields