First name *
Last name *
Age
Gender female male
Country of residence *
Visa: Do you need a visa to attend this meeting? * Yes No
Current address: street and number *
Current address: post code *
Current address: city *
Alternative address: If your current address is different from the one registered with officials please fill out this field. This address will be used for visa invitations etc. Please tell us which address we should use for posting things to you.
Phone (with prefix) *
E-mail *
Website
Organisation/group involved with
Activity
Food: vegan/ other/ allergies?
When will you arrive and when depart?
Please read our travel reimbursement criteria before filling in the next two fields.
Are you applying for travel reimbursement? Yes No
If you selected "Yes" above, please estimate how much your ticket would cost and for which mode of transport (e.g. train, bus)
How much will you be able to afford for a participation fee? less than the average fee the average fee more than the average fee to support others
How did you know about the meeting?
Which projects/actions/campaigns are/were you involved in? (Interesting web links?)
What do you expect from the meeting and why would you like to participate?
Do you have suggestions on how to improve this online form?
Anything else, you want to tell us?
*) Fields marked with a star are mandatory and need to be filled out.