Andy_Jenner Thu, 22/11/2018 - 14:25 1 Start 2 Preview 3 Complete E-Mail Address * Please leave us an E-Mail to which we can send you a confirmation mail and further instructions. First Name * What is your first name? Family Name * What is your family name? Phone Number We ask for your number to contact you in case you arrive late for the departure or get lost on the trip. We will not use it ulterior. Country of Origin * What is your country of origin? Are you an Erasmus student? * Yes No Please select whether you are in Augsburg through the Erasmus program or not. ESN-Card number Please enter the number that can be found towards the bottom of your ESN-Card. If you do not posses an ESN-Card, please leave this field empty. Is it possible for you to pay via bank transfer? * Yes No If it is not possible for you to transfer us the participating fee, then you can pay at our Stammtisch. PLEASE try to transfer the money if you have the possibility, as it will mean a lot less effort for us. Attention! This is a binding submission! * I am aware that this is a binding registration. By making this submission, I oblige myself to attend the trip and pay in cash on that day. Failure to pay may result in me being excluded from ESN activities for the remainder of the semester. I accept that my data will be forwarded! * I accept that the entered data will be stored until one month after the end of the event. The data will only be used for authentication within the ESN Germany organisation and its local section ESN Augsburg. Furthermore, ESN Augsburg is a local Erasmus initiative (LEI) which is partially funded by the German academic exchange service DAAD (Deutscher Akademischer Austauschdienst). For statistical and verifiable purposes I agree that following information will be passed to the DAAD: First Name, Last Name, Nationality, Erasmus status.