I hereby apply for the Intercession Training Course (ITC) in Fulda, Germany, from the 2nd till the 7th of October 2018: PERSONAL DATA: Surname: First name: Title: Nationality: Postal address: (incl. Street, Postal code, city, country) Email address: Telephone: Mobile phone: Passport number: Special needs / Note to the organization (to be filled in individually) Languages I speak/understand: (the program is in English and German only) please tick the right “□”: Male □

Female □

1. Registration fee (includes meals starting with supper at the 2nd till lunch at 7th of Ocotber 2018): Coming from a nation “category A”: 170,00 € Coming from a nation “category B”: 140,00 €

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2. Accomodation (includes bead & breakfast for all nights): All hotels are in walking distance to the conference hall - Single room (about 250,00 € per person) - Double room (about 185 € per person) - Multiple room (about 150 € per person)

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I would like to share a room with: __________________________

Please note: After registration we will book the hotel in your name as you ordered. You will then receive a confirmation with the exact prize you have to pay (fee plus hotel) since the prizes of the rooms can be a little higher or lower than the mentioned prize on this sheet! Please do not transfer money to our account without having received the conformational letter with the exact prizes for accommodation! 1

Costs for ITC Germany 2018: Coming from a nation “category A”: 170 € Austria, Belgium, Denmark, Finland, France, Germany, Gibraltar, Ireland, Iceland, Italy, Luxembourg, Malta, Netherlands, Norway, Portugal, Spain, Sweden, Switzerland, Turkey, United Kingdom Coming from a nation “category B”: 140 € Albania, Belarus, Bosnia-Herzegowina, Bulgaria, Croatia, Cyprus, Czech Republic, Estonia, Greece, Hungary, Latvia, Lithuania, Moldavia, Poland, Romania, Serbia, Slovakia, Slovenia, Ukraine This costs include the registration fee AND all meals (lunch/supper) from supper at 2nd till lunch at 7th of October 2018! Costs for accommodation (bed & breakfast) have to be added! The meals (lunch / supper) are served in the name and for account of the caterer “Künzeller Stuben”. Your accommodation will be organized for account of the particular hotel. The conference will be held in German and English only. If you want to bring along an own translator, you will have to pay the costs for accommodation (bed & breakfast) plus a reduced registration fee (70€ for all lunch/suppers) for this person!

Kindly finalize your payment by the 1st of July 2018 to enable us cater your needs. After that date we cannot guarantee to be able to offer all required wishes! In case your application is sent to us later than the 31st of August 2018 we ask you to bring along a receipt that can testify your payment! Please transfer your money in 1 rate to the following account: Charismatische Erneuerung Deutschland Liga Bank IBAN: DE75 7509 0300 0002 1349 00 SWIFT: GENODEF1M05 Reason for payment: “ITC2018 & your name!” If you pay for more than 1 person please make sure you let us know all names of those people you have paid for!

REGISTRATION Please send your fully-filled registration form to: - Email: [email protected] - postal address : Schubertstrasse 28, 88214 Ravensburg, Germany 2