Registration form

Here you can complete your registration for accommodation during the next edition of the Nijmegen Marches. Please fill out this form as compete as possible. Check your data after the completion of the form. Your registration is completed when you get a confirmation of the registration at the bottom of the page. A registration confirmation e-mail will be sent to your e-mail address. Please also check your spam box. if you don't receive any. Not receiving any e-mail please contact the organisation.

Your registration becomes valid when we receive the associated payment on our bank account.

Please fill in the fields with a red outline!

 

Please fill in your first name.
Please fill in your last name.
Please fill in your street name.
Please fill in your house number.
Please fill in your postal code.
Please fill in your residence and country.
Invalide e-mail input.
Invalid phone number input.
Invalid mobile number input.



Please make a choice.
Please fill in the distance.

Accomodation (Bed, breakfast, packed lunch only with the possibility of an additional evening diner)

Please make a choice.
Please make a choice.
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Medical and relevant info

Medical or other special condition as far as relevant to us.
We will treat your personal info with the utmost care.
Please make a choice.
Please fill in.
Vegetarian or other diet considerations.    
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Other things you want to mention.   (like - under bed or upper bed, close to the door-).       

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Please enter the 4 numbers in the box
Refresh Invalid input.


© Jan Kiefte Stichting