Academic Surfclub - Anmeldeformular

Your details

Please fill out the following form. Payments are possible via Twint.

Info:
Your matriculation number will later become a kind of pin for event registrations.

Local group *

Last Name *

First Name *

Date of Birth *

Mobile number *

E-Mail *

Address *

ZIP Code *

City *

Country *

Matriculation number *

University *

Degree *

Student/Alumni *

Surflevel *

Membership fee *

Comments

Sicherheitscode *

Bitte geben Sie nebenstehenden Sicherheitscode in obiges Feld ein (Spam-Schutz).