Register

Please fill out the form below to register for your course.

Are you new to Dutch in Dordrecht? Plan an intake first and we will discuss your background, learning needs and assess your language level. Together we will determine which course suits you best. Afterwards you can return here to register for a Dutch course.

Personal Details

First name

Surname

Address

Postal code

City

Telephone number

E-mailaddress

Date of birth

Nationality

Native language

Have you already followed a course at Dutch in Dordrecht?

Yes

Which course?

Billing Address

Are the billing details the same as your personal details?

Yes

(Company)name

Contact person

Billing address

Billing adress postal code

Billing address city

Billing address e-mailaddress

Billing address telephone number

Courses

I wish to sign up for:

Start date

I would like to start the course in:

Payment

I would like to pay the course fee in full.

I would like to pay the course fee in instalments.

Basic courses can be paid in three instalments, other courses can be paid in two instalments. The course fee is divided equally over the instalments, with the course material paid in the first instalment.

Discount code

Registration conditions

I agree to the terms and conditions.

I agree to the processing and storage of the above data as described in the Privacy Policy.