Inschrijfformulier ENG

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!

First name

Please fill in your first name.

Last name

Please fill in your last name.

Sexe

Street

Please fill in your street name.

Number

Please fill in your house number.

Postal code

Please fill in your postal code.

Residence & country

Please fill in your residence and country.

E-mail

Invalide e-mail input.

Phone number

Invalid phone number input.

Mobile phone

Invalid mobile number input.

Other data

COM individual
COM platoon
DMO
None of the above

Please make a choice.

Distance

Please fill in the distance.

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

Please make a choice.

Sun/Mon

Yes - Ongeldige invoer

Mon/Tue

Yes with diner Monday evening Ongeldige invoer

Tue/Wed

Yes with diner Tuesday evening Ongeldige invoer

Wed/Thu

Yes with diner Wednesday evening Ongeldige invoer

Thu/Fri

Yes with diner Thursday evening Ongeldige invoer

Fri/Sat

Yes with BBQ Friday evening Ongeldige invoer

Total cost

Ongeldige invoer

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.}

Yes No

Please make a choice.

Please fill in.

Vegetarian or other diet considerations.

Ongeldige invoer

Other things you want to mention. (like - under bed or upper bed, close to the door-).

Ongeldige invoer

Please enter the 4 numbers in the box

Refresh Invalid input.

Registration form

Please fill in the fields with a red outline!

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

Medical and relevant info