Registration form
First name: *
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Last name: *
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Gender: *
Address: *
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City: *
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State: *
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Zip code: *
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Country: *
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Phone: *
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E-mail:
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I am registering as: *
Name of my partner (roommate):
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Gender:
In our double room we prefer:
Staying for the Tour Extension to west Bohemia? *
Number of vegetarians:
Dietary Requirements:
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Other Requirements:
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