Single Adult Membership Registration – ಸಿರಿಗನ್ನಡಕೂಟ ಮ್ಯೂನಿಕ್ e.V.

Membership Account Information

Membership Level *
Sirigannadakoota Single Adult Annual Membership 2024 (€20 per year)
Username *
Username
Password *
Password
Email *
Email

Personal Details

First Name *
First Name
Last Name *
Last Name
Gender *
Gender
Date of Birth *
Date of Birth
Citizenship *
Citizenship
Email *
Email
Primary Phone *
Primary Phone
Primary Address *
Primary Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Data Correctness *
I confirm that the above information provided is true and can be used for communication purpose.
** Please note providing false data will lead to the cancellation of the membership
On clicking register button, you agree to our privacy policy and GDPR. Instructions

This box is for spam protection - please leave it blank:

Click here to read our Privacy Policy