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
Bank transfer
Cheque

You will be invited to pay online after submitting your registration

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

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

I accept the privacy policy of the Chemin Neuf Community

Inscription

votre inscription est faite

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