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.

THE REGISTRATION PROCESS CAN TAKE UP TO THREE WEEKS. MAILS ASKING US ABOUT YOUR REGISTRATION PROGRESS WILL COST AT LEAST ONE BEER AT A PARTY. HOVEWER WE STILL LOVE YOU FOR BECOMING A MEMBER AND JOIN US SOON ON OUR ADVENTURES!

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).