Registration D F D F Registration Form Please fill out this form before submitting payment. Your Name (required) Badge Name (required) Your Email (required) Your Address (required) Your date of birth (required) ------------------------------------------------- I would be willing to have my photo appear on the DFDF website: yesafter seeing themno ------------------------------------------------- I would like to join the DFDF mailing list yes ------------------------------------------------- Type of Membership (required) I would like adult membership(s) - € 55 per person (€5 are a deposit for the badge holder and will be returned to you after the convention) I would like Teenager membership(s) (ages 13-18) - € 30 per person (€5 are a deposit for the badge holder and will be returned to you after the convention) I would like Child membership(s) (younger than 13) - € 5 (the €5 are a deposit for the badge holder and will be returned to you after the convention) I would like to have a badge for my cuddly toy, the dog, ...? ( € 3 per badge, these badges are laminated ) Badges for dogs, cuddlies, ... ------------------------------------------------- Names and badge names of other people you are registering? one person per line please ------------------------------------------------- I will pay by: bank transferpaypal (Please note that there is a transaction fee for using Paypal) ------------------------------------------------- Terms and Conditions I agree to my data being processed according to the privacy policy. ------------------------------------------------- Spam-Protection The capital of Japan? ------------------------------------------------- Submit