Individual Registration

Please enter information in the form below to process registration for event Kizomba Friday - Anniversary Edition - 30th January 2026.

Ticket Type	Price	Quantity
1 workshop & party	20.00€

First Name *

Last Name *

Address

Address 2

City

Zip

Country

State

Phone

Fax

Email *

Comment

Amount

€

Payment Processing Fee

€

Gross Amount

€

Payment Method

Paypal

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

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