Register form

By filling in this form you register for the retreat with Sri Vasudeva from june 29th until july 1st 2018 in Loenen Holland.

Please transfer your payment to our bankaccount:

IBAN: NL56 RABO 0119 8068 51

Accountholder: Blue Star Holland
Ursula van Raesfeltlaan 26
6994 BC De Steeg
The Netherlands

Please fill out the form completely. It makes our work more easy.

Your Name:*
Phone number:*
Your bank:*
Your bank account:*
I want to subscribe for the following days :*
Type the characters you see here:

* Indicates required fields