Application

First name (required)

Last name (required)

Day of birth (dd.mm.yyyy)

Street, Number (required)

ZIP, City (required)

Country (required)

eMail (required)

Membership fee (required)
32€ full fee16€ reduced fee

Message (optional)

Pirates without Borders process the personal information contained in your application solely for internal purposes of the association.

My signature is provided by making the initial payment, which completes the application. I will make no payment until I am prompted to do so.

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