INSCRIPTIONS

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INSCRIPTIONS Changemakers

1 Formula
2 Transport
3 Payment

:

200

Personal information

M

F

First name

First name

Surname

Surname

Birth date (dd/mm/yyyy)

La date de Naissance doit être au format dd/mm/yyyy

Situation

Choisir

Address

Champ adresse obligatoire

Postcode

Code postal manquant ou incorrect

City

Champ ville obligatoire

Email

Erreur champ email

+xx/

Mobile

Erreur champ téléphone

Outward trip

Train
Organised
Own way

Means of transportation

Return trip

Train
Organised
Own way

Means of transportation

Accommodation

Choisissez un logement

Supplement

COMMENTS

Transport-related comments

Accommodation-related comments

Health-related comments

Autres questions

PAYMENT SUMMARY

TOTAL
Formula
Accommodation
Transport
Reduction
Solidarity : Pour aider un jeune à venir au Festival

Proceed to payment

DEPOSIT (non-refundable)

IN FULL (the balance)

Payment method

Credit card
Cheque
Bank transfer

You will be invited to pay online after submitting your registration

1. Write on the back of the check your registration ID
2. Check payable to
3. Send to :

IBAN|tradu :
Code BIC :
During the bank transfer, please specify your registration ID

I accept the privacy policy of the Chemin Neuf Community

Inscription

votre inscription est faite

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