REGISTRATION FORM

(if you want to pay using lei please use )

International SYSTEMIC TEAM COACHING Certificate” a 3 Day Programme

(November 1, 2 & 3, 2017 – between 9:30am-5:00pm GMT + 2) Bucharest

Please complete this form and send it to e-mail:

First and LAST name ______

Personal identification number ______theinvoice will be issued for a person/entity

(see below)

Residing in ______County/Country ______

The current employer ______

Position ______Profession ______

Graduated from ______

The contact phone _0 ______Mobile _07______

e-mail ______

I will participate in the programme and I will pay after receiving the invoice electronically by ZETA Company s.r.l., VAT Number RO1883813, registered in Register of Commerce under number J13/3018/1992in IBAN account RO88 EGNA 1010 0000 0061 6885 opened in Marfin Bank s.a., Constanţa Branch, amount of 760 EUR beforeOctober 5thor1140 EURthereafter.(For all amounts in this form V.A.T. will be added - 20%; this is not applicable if my company is registered in The Register of Intra Community Operator.)

1 - After payment, within 24 hours, I will inform the person who issued the invoice to me by e-mail or phone.

2 - If I will not pay the bill within that time, I accept that the place for me to be occupied by another participant, and the bill will be written off.

3 - If I notice more than 30 days before the non-participation during which we completed this Form, I agree to participate in the next course on the same subject (date to be announced at least 30 days before). Participation at another time involves paying an additional fee of 1410 lei.

4 - If I renounce to participate in this course with less than 45 days before, I will notify in writing the person who issued the invoice to me. In this case ZETA Company s.r.l. will retain 1950 lei (organizational costs).

5 - If I do not participate in this course and after I paid in full, without written notification (via email) of the person who issued the invoice, ZETA Company s.r.l. shall withhold the total amount.

6 - In case of postponement of the course, the participant can choose whether to attend the next course or to receive entirely amount paid. This option is not applicable to situations described in paragraphs 3, 4 and 5 from above.

This Course Registration Form becomes valid only after the full payment.

This Application Form substitutes the Contract between the parties.

_ _ - September - 2017

Full name / Signature participant

______

(Valid without signature when submitting electronically.)

Invoice data needed for entities

Entity’s name ...... Ltd.

Registered office address: ......

Postal Code: ...... County/Country: ......

Recorded at Register of Commerce under the no:...... ; VAT number ......

IBAN: ...... Bank’s Agency / Branch ......