Name (if different from above)
Core (Standard)Club & NGO **Education **
** Discounted or special offers. If applicable, it is necessary to send us a corresponding proof. Otherwise we charge the standard rate.
Name of the organisation or group (if applicable)
Account Details for group members
If you need several accounts, enter the e-mail addresses of the accounts to be created here (1 per line).
If you have a discount or voucher code, please fill it in here.
I am authorised to pass on the above personal data (which may relate to other persons) to Weymeirsch & Langer GbR.
− 1 = 3