Full Name* First Name Last Name E-mail* SPONSOR PARTICIPATION Please fill out the number of guests Number of guests 52 € Number of guests STANDARD PARTICIPATION Please fill out the number of guests Number of guests 35 € Number of guests Number of children under 10 years old 25 € Number of children I support the event, and I donate: €50€75€100€260 Total €0.00 Payment* Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page. Should be Empty: Envoyer This page uses TLS encryption to keep your data secure.