30.03-02.04.23 Bauhaus study trip

Single | 30.03-02.04.23 Bauhaus study trip

Registration form for one person in a single room
Fields marked with an (*) are mandatory.
Name & Surname*

First nameFamily name
Function*
Job title
Company / Organisation*
E-mail*
Mobile phone number*
I am at least 18 years old*

Yes
My food allergies and/or preferences (e.g., vegetarian)
I would like to receive luca's newsletters

YesNo

Payment
I want to pay*

Now online via StripeBy bank transfer
PAYMENT BY BANK TRANSFER

By choosing 'by bank transfer' you are submitting a registration request.

You will receive the payment details by e-mail at the e-mail address given in the form, please check your spam.

Once the payment will be effective, we will send you a confirmation e-mail.

Please proceed with the payment within 1 week of this submission.
I have read and understood the payment conditions*

Yes
GDPR: luca will use the information provided on this form to contact you and send you information about your registration by e-mail. You can exercise your right of access to the data concerning you and have them rectified by contacting luca by post or by e-mail at office[a]luca.lu.
GDPR*

I have read and accept the above conditions

GDPR: Bank details are exclusively processed by the Stripe payment platform and are in no way accessible to luca or third parties. The personal data collected by luca is only intended for internal use in accordance with data protection legislation.

luca will use the information provided on this form to contact you and send you information about your registration by e-mail. You can exercise your right of access to the data concerning you and have them rectified by contacting luca by post or by e-mail at office[a]luca.lu.
GDPR*

I have read and accept the above conditions
By clicking on the 'SUBMIT' button, your registration and your payment will be effective.

You will receive a confirmation e-mail at the e-mail address given in the form, please check your spam.
I have read and understood*

Yes
Should be Empty:

Informations sur la carte bancaire
Prénom	Nom de famille
Numéro de carte bancaire	Code de sécurité
Expiration de la carte

Single | 30.03-02.04.23 Bauhaus study trip