Registration Black Page Orchestra Season 2024/25, Variety Registration Black Page Orchestra Customer number (if available) First name Family name (Surname) E-mail Address Phone Mailing address Desired category Desired category *Category 1 | 81,- EURCategory 2 | 69,- EUR Amount Amount *1 subscription2 subscriptions3 subscriptions4 subscriptions5 subscriptions6 subscriptions If not available, I'll take it: If not available, I'll take it: any other category the next higher category the next lower category no other category I apply for the following membership and receive 2 subscriptions 10% cheaper: I apply for the following membership and receive 2 subscriptions 10% cheaper: Ordinary membership (€ 90,-) Youth membership up to 30 years (€ 15,-) Supporter (€ 500,-) Date of birth Additional remarks (e.g. I require a wheelchair space) May we inform you about offers by e-mail? May we inform you about offers by e-mail? Yes, with pleasure. No, I'd rather not. Terms and Conditions Terms and Conditions Agree. Read terms and conditions. Send