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Chemisch Dispuut Leiden
If you have further questions please contact Chemisch Dispuut Leiden.
Chemisch Dispuut Leiden
Dies activiteiten
Dear members,
In this form, you can sign up for all Dies activities! Every activity will be opened 2 weeks before they will take place.
You don't have to fill this form in if you have a passe partout ticket.
First name
(required)
Last name
(required)
E-mailadress
(required)
Gala ticket
(22 left)
€
23
,
50
−
+
If I take people along to the gala, they accept that their photos may be taken and published on the website (only accessible behind the members-only login-wall).
(required)
I accept that I may cancel my tickets up to two weeks in advance and receive a refund. If I cancel my ticket after two weeks in advance I will not receive a refund.
(required)
Administrative Fee
€
0
,
50
Total:
€
0
,
00
Payment Method
iDEAL
In order to process my payment I agree with the
Terms of Service
and
Privacy Statement
.