Kursanmälan

    ANMÄLNINGSBLANKETT

                                                                                                                           

Till kursen______________________________           Datum____________

Kursplats_______________________________          

Kursnummer____________________________

 

Namn_________________________________Personnr:_______________

Adress_________________________________

Telefon_______________    Logi, dubbelrum     Logi, enkelrum     Ej logi 

Särskilda upplysningar________________________________

 

Namn_________________________________Personnr:________________

Adress_________________________________

Telefon_______________     Logi, dubbelrum    Logi, Enkelrum     Ej logi 

Särskilda upplysningar________________________________

 

Namn_________________________________Personnr:__________________

Adress_________________________________

Telefon_______________     Logi, dubbelrum    Logi, Enkelrum     Ej logi 

Särskilda upplysningar________________________________

 

Namn_________________________________Personnr:___________________

Adress_________________________________

Telefon_______________     Logi, dubbelrum    Logi, Enkelrum     Ej logi 

Särskilda upplysningar________________________________

Anmälande organisation_______________________________

Uppgiftslämnare_____________________________________