CONtrapunkt Registration Form

Please fill out this form before submitting any payment.

*Full Name:
Name on Badge *:

* if different from first/last name

If you would like to register additional members of your household, please provide the information at the bottom of this form. Members with a different address have to be registered separately, please!

* required entries

*Adress:
*City:
*Postcode:
*Country:
Telephone:
*E-mail Adress:
*Date of Birth:

 I would be interested in a concert slot (30 min).
I would like to offer a workshop / I have ideas for programming:

I register:

Adult Membership(s) at 50€ €
Youth Membership(s) (16-18) at 30€ (children below the age of 16 are free) €
Supporting Membership(s) – 15/18/20€ (Non-Attending, we will mail you your badge & programme booklet and mention you as a contributor) €
Kid-/Plushie-Badge: 1€ €
Hostel Accomodation Adult(s) Friday – Sunday: 79€ €
Hostel Accomodation Child(ren) 11-17  Friday – Sunday: 77€ €
Hostel Accomodation Child(ren) 6-10   Friday – Sunday: 48€ €
Hostel Accomodation Child(ren) 3-5   Friday – Sunday: 41€ €
Hostel Accomodation Adult(s) Friday – Monday: 103€ €
Hostel Accomodation Child(ren) 11-17   Friday – Monday: 99€ €
Hostel Accomodation Child(ren) 6-10   Friday – Monday: 61€ €
Hostel Accomodation Child(ren) 3-5  Friday – Monday: 53€ €
Total Amount: €
(All amounts are in Euro)
 I would like vegetarian meals.
I am allergic to:
I would like to share the room with:
 If possible, I would like to have a single room
(Add-on: 10 EUR/Night **)		  If possible, I would like to have a twin room
(Add-on: 5 EUR/Night **)
 I do NOT want to share a mixed room.  I am a snorer / a somewhat noisy roomie.

I will pay by:

Bank Transfer
cash (please give further information — when, where? — in the comment function!)
Paypal (please note that additional costs of 3,50€ do incur for the transaction fee!)

Please provide information for each additional membership:

Full Name:
Date of Birth:
Name on Badge: 
Child?  (If your child is below the age of 16 and does not have to pay for their membership, please do fill out these boxes if you want them to have a badge! You can also order “plushie badges” this way.)
Full Name:
Date of Birth:
Name on Badge:  Child? 
Full Name: Date of Birth:
Name on Badge:  Child? 
Full Name: Date of Birth:
Name on Badge:  Child? 
I would like to leave you comments or messages:
 I have read and accepted the terms & conditions as well as the privacy policy.

(Please remember, payment is due within 30 days or we have to cancel your reservation!)

Thank you for registering!