Diesgala Non-Member Ticket

Fields marked with an asterisk (*) are mandatory.

Non-member ticket galaName *
Last Name *
E-mail address *
Phone number
Name of the accountholder paying for the ticket. *
Name of the date I'll be joining *
Do you want to come to the gala by limousine (public transport includes a 30 minute walk)?
What is your preferred timeslot for the limousine? (first choice)
What is your preferred timeslot for the limousine? (second choice)
Do you want to go back by bus? (at 02:00)
I am 18 years or older *
I allow Study Association of Psychology Labyrint to make and publish photos made during this event. In case I do not feel comfortable with photos being taken of me, I will contact the board. *