Please fil up the following form
First name *
Last name *
Telephone number *
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Are you a participant of our empowerment project for domestic workers & au pairs?
Yes ( 10,00/ticket) No ( 15,00/ticket)
How many tickets do you want?:
Do you need simultaneous interpretation? (Play in Dutch Please indicate in the correct box the number of attendees that will need interpretation)
English : Spanish : French : No interpretation needed :
Are you interested in the cooking book Onze (GE)Rechten? (only available in Dutch)
Onze (Ge)Rechten will be available to buy after the presentation at a price of 20

Would you rather to buy it now? Yes No

Total price ticket(s) =
Total price book(s) =
Book delivery costs =
Total te be paid =


Other invoice address (when buying the book)