D F D F Registration Form Please fill out this form before submitting payment. *Name: Name on Badge*: * If different from first/last name. Provide Information for Additional Memberships at the bottom of this form. *Address: *City: *Post Code: *Country: *Telephone: *E-mail Address: *Date of Birth: I would be willing to have my photo appear on the DFDF website* YesNoWould like to see photo first Would you like to join our email list? * Required entries Adult Membership(s) at €45,00 € Child Membership(s) at €15,00 (ages 14-17, children below the age of 14 are free) € Supporting Membership(s) at €15,00 (Non-attending, we’ll mail you a badge) € Total Amount: € (All amounts in Euros) We will pay by: Bank Transfer Paypal (Please note that there is a transaction fee for using Paypal) Please Provide Information for Each Additional Membership: First Name: Last Name: Name on Badge: Child? (If your child is below the age of 14 and does not have to pay for her or his membership, please also fill out these boxes if you want her or him to have a badge.) First Name: Last Name: Name on Badge: Child? First Name: Last Name: Name on Badge: Child? First Name: Last Name: Name on Badge: Child? (Please remember, payment is due within 30 days or we have to cancel your reservation!) Don’t forget to book your hotel room! Thank you for registering!