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) - € 50 per person I would like Teenager membership(s) (ages 13-18) - € 25 per person I would like Child membership(s) (younger than 13) - free I would like to have a badge for my cuddly toy, the dog, ...? ( € 3 per badge ) 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. Submit