Congress registration email template

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Copy the text below into a new email, complete it and send it to info@esperanto.org.au with the subject line “Congress 2025 registration”.

Hello,

I wish to register for the Australian Esperanto Congress 
and Summer School in Adelaide, January 2025. Below are my details.

PERSONAL DETAILS

1. First name: ___________________
2. Family name: ___________________
3. Address: ______________________________________
4. Telephone number(s) (inc. area code): ___________________
5. Email address: ___________________
6. I am a full-time student at: ___________________ (Leave empty if it doesn't apply)
7. Special dietary requirements (if applicable): ___________________
8. I intend to participate in the following course (delete those that don't apply): 
   Beginners / Intermediate / Advanced
9. My contribution to the program: ______________________________________
   (* lecture, short talk, musical performance, etc, if you would like to)
10. I consent to the following details being included in the “Congress booklet” 
   (delete those that don't apply):
   Name, Address, Phone number, Email address

11. Dates: ___/01/2025 until ___/01/2025

12. Accommodation:
(Delete the line that doesn't apply)
  - I will be staying at St Anne’s College
  - I will organise my own accommodation

13. Payment:
Level (Delete those that doesn't apply): Bronze / Silver / Gold  =  AUD  .00
Registration fee  =  AUD  .00
Donation  =  AUD  .00
Total  =  AUD  .00
14. Method of payment (delete those that don't apply):
    - Cheque/money order posted to AEA
    - Credit card via PayPal (on the website)
    - Direct deposit into the AEA bank account
    a. Date I transferred funds to AEA bank account (if applicable): ___/___/___
    b. Reference I used to transfer funds to AEA bank account (if applicable): 
    ___________________