Prudolphian Academy – Application Form | Antique Dealers Association

Please, fill in the form or you can send the application form (30 kB, Microsoft Word) by mail to the following address: Valentinská 7, 110 00 Praha 1

On-line Application Form

Applicant information

Name:*

Surname:*

Phone:*

E-mail:*

Degree:

Education:

PID:

Address

Street:*

City:*

Postal:*

Preferred day of lectures

Wednesday

Saturday

Notes

If you have any comments or questions, write them into the box below.

Notes:

I apply to study at the Academy Rudolphian*
I am aware that my personal data is processed by the Secretariat of the Association of Antique Dealers for registration of members of the AS.

* Bold fields are required.

Prudolphian Academy – Application Form

On-line Application Form

Education

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