עברית
 
 

Ein Gedi Workshop
Money Transfer form for Registration & Accommodation

The workshop payment and the accommodation payment should be transferred as followed:
 Israeli Institute of Group Analysis
Account No.63100775881 Israel Leumi Bank
Bank Code IL010631 branch Lamed 631
Tel Aviv, ISRAEL
  Fields marked with * are mandatory
*  Surname:
*  First name:
  Title:
  Mailing Address:
        
*  Street:
*  City:
  State:
*  Country:
  Zip Code:
*  E-mail:
*  Bank Transfer form No.:

I would like to stay in
 
  Ein Gedi room type:
           
*  in:
        
*  For:
        
*  From:
*  Till:
*  Identification Code Identification Code
   
   
 
 
 
Home Page | About Us | Events | Training | Group Analytic Therapy | Contact Us | Site Map