Name-Surname:                 AEGEE member since (dd/mm/yy):
E-Mail Addres:                  Do you need an invitation letter?: YesNo
Sex:                   Male Female                              Your favourite god/godess: 
Address:                            Do you guarantee to pay half of the
Tel/Fax:                             fee or fax your tickets 30 days earlier?YesNo
Antenna:                                      Date of Birth: 
Passport No:     
Your Motivation: