European Shareware Conference

Signup-Form for Non-Online Signup
and declaration of payment at the conference site.

Also: For Networking-Info-Signup

Information :

Please fill in your data in the form below. This form is only to be used for the non-online-signup. For regular signup and payment please proceed to the relevant page . Please note that an additional email is necessary to confirm in a short sentence that you are going to pay the fee (€ 135,- which includes the conference fee of € 135,- and an extra banking and processing fee of € 5,- ) on arrival.

The given data will be treated strictly confidential and only used for the purpose of participants`registrations. If you like you can additionally sign up (opting in) for our newsletter. (starting from May 2004).

If you wish to categorize your field of activity to faciliate the networking at the conference please define it in the textfield below.

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*
Surname
Family name *
Street and housenumber
Postal-Code
Place/City
Email-Address*
Telephone*
Desired way of contact*		By Email By Telephone
Please add me to your newsletter list		Newsletter
Networking info - field(s) of interest		Please describe your main category where you work and with whom you would like to be in touch with during the conference. By doing so you indicate that you agree that you are added to lists of corresponding participants.
If you only want to use this form for indicating your networking infos please check the box on the right hand side.		Networking info only