REGISTRATION FORM NAME

ravishing
revelations
REGISTRATION FORM
NAME
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SURNAME
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADDRESS
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PHONE
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E-MAIL
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registers for
THEMED GUIDED TOUR ‘ART NOUVEAU, A STYLE WITH VARIOUS NAMES
AND DIFFERENT FACES’ ( IN DUTCH )
LECTURE ‘ART NOUVEAU LADIES AT WORK’ ( IN DUTCH )
with . . . person(s) at 6 € per person
with . . . person(s) at 3 € per person
and shall pay cash at the museum’s desk.
with . . . person(s) at 12 € per person
I WISH TO BE KEPT UP TO DATE OF THE ACTIVITIES OF DESIGN MUSEUM GENT
VIA E-MAIL.
Please return the completed form to [email protected] .