LuxCon 2018 - Registration
Basic Information:
Grundinformationen:
Information de base:
Alias, to use in print, if required:
Künstlername, zu Veröffentlichungszwecken, falls nötig - Nom d'artiste pour publication, si nécéssaire
Your answer
Name, Surname *
Vorname, Name - Prénom, Nom
Your answer
Company name, nom de plume
Firmenname, Künstlername - Nom du commerce, nom de plume
Your answer
Address: *
Addresse - Adresse
Your answer
Postcode, Town: *
Postleitzahl, Ortschaft - Code Postal, Ville
Your answer
Country: *
Land - Pays
Your answer
Phone number: *
Telefonnummer - Numéro de téléphone
Your answer
E-mail address: *
Email Adresse - Adresse email
Your answer
Website:
Webseite - site web
Your answer
Facebook page:
Facebook Seite - page Facebook
Your answer
Twitter handle:
Your answer
Instagram:
Your answer
Other online presence(s):
Weitere Online Präsenzen - Autres présences en ligne
Your answer
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