Application to Attend Geeks on a Plane 'Eastern Europe' 2012

All prospective 'geeks' must complete this application to be considered for Geeks on a Plane 'Eastern Europe' in September 2012 IMPORTANT INFO: - Tentative Dates: Sept 18th - 30th - Tour Stops: Moscow, Tallinn, Zagreb & Berlin - More info: - Questions? Ping
* Required

Never submit passwords through Google Forms.