Testseite Donations

Please fill in this form, before you send us any money!

First and last name (*)

Badge name (* if different from your first and last name)

If you would like to register additional members of your household, please provide the information at the bottom of this form. Members with a different address have to be registered separately, please!

Address (*)

Address 2

City (*)

Postcode (*)

Country (*)

Phone

E-mail address (*)

I am willing to help at the con: yesyes, but no physical workno

I would like to offer a workshop / I have ideas for programming:

I register:

Banquet Meals:
I would like vegetarian meals.
Number of veggie meals (in case of family registration):

I have intolerances / I am allergic to:

Please provide information for each additional membership:

First and last name (*)
Badge name (*)

First and last name(*)
Badge name (*)

First and last name (*)
Badge name (*)

First and last name(*)
Badge name (*)

I would like to leave you comments or messages:

I agree with the publication of my (badge-)name on the membership list of the website: yesno

I have read and accepted the code of conduct as well as the health policy. (*)

Thank you for registering!

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