Mandatory field Virnumm*
Mandatory field Nonumm*
Hausnummer
Mandatory field Strooss*
Mandatory field PLZ*
Mandatory field Uertschaft*
Mandatory field E-Mail-Adress*
Telefonsnummer
	Och Member bei der AGC/CGFP ginn
	Kopie u mech schécken
Mandatory field Sécherheetsfro*	What is the sum of 1 and 9?
	Fortschécken