Application | MiKurason

MiKurason

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Course Application

Please fill in the required information to create a new course_application

Atendee Information

Company * Title * Firstname * Lastname * ID Number (e.g. 1984102600) * Id Type * Birth Date (YYYY-MM-DD) *

Contact Information

Email * Street Name * Street Number * Mobile Number * Home Number Work Number

Course Information

Course * Notes

Extra information

All courses include certification, food & beverages for the duration of the course. They are provided by full instructors of the International Training Center of the Curacao Heart Foundation.
                   
As soon as you sign up we will contact you with all details regarding the location and exact date of the course you selected.

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