Fields indicated with '*' = asterisk are obligatory.
Title *
Mr.
Ms.
First name or initials *
Name prefix
Surname/Last name *
Organisation
Street *
House/Apt. number *
Postal/Zip Code *
City *
Telephone
Country *
Afghanistan
Albania
Algeria (Al Jaza'ir)
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria (Oesterreich)
Azerbaijan (Azarbaycan Respublikasi)
Bahamas, The
Bahrain (Al Bahrayn)
Bangladesh
Barbados
Belarus (Byelarus)
Belgium (Belgique /Belgie)
Belize (Belice)
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina (Bosna i Hercegovina)
Botswana
Bouvet Island
Brazil (Brasil)
British Indian Ocean Territory
Brunei
Bulgaria (Republika Bulgariya)
Burkina Faso
Burundi
Cambodia (Kampuchea)
Cameroon (Cameroon or Cameroun (French))
Canada
Cape Verde (Cabo Verde)
Cayman Islands
Central African Republic (Republique Centrafricaine)
Chad (Tchad)
Channel Islands
Chile
China (Zhong Guo)
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros (Comores)
Congo (Republique du Congo)
Congo (DRC) (Republique Democratique du Congo)
Cook Islands
Coral Sea Islands
Costa Rica
Côte d'Ivoire (Cote d'Ivoire)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic (Ceska Republika)
Denmark (Danmark)
Djibouti
Dominica
Dominican Republic (Republica Dominicana)
Ecuador
Egypt
El Salvador
Equatorial Guinea (Guinea Ecuatorial)
Eritrea
Estonia (Eesti)
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji Islands (Fiji)
Finland (Suomi)
France (France or Republique Francaise)
France, Metropolitan
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany (Deutschland)
Ghana
Gibraltar (Ghana)
Greece (Ellas)
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea (Guinee)
Guinea-Bissau (Guine-Bissau)
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary (Magyarorszag)
Iceland (Island)
India
Indonesia
Iran
Iraq (Al Iraq)
Ireland (Eire)
Israel
Italy (Italia)
Jamaica
Japan (Nippon)
Jersey
Jordan (Al Urdun)
Kazakhstan (Qazaqstan)
Kenya
Kiribati
Kuwait (Al Kuwayt)
Kyrgyzstan (Kyrgyz Respublikasy)
Laos
Latvia (Latvija)
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania (Lietuva)
Luxembourg
Macau SAR
Macedonia, Former Yugoslav Republic of (Makedonija)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania (Muritaniyah)
Mauritius
Mayotte
Mexico
Micronesia (Micronasia)
Moldova
Monaco
Mongolia
Montserrat
Morocco (Al Maghrib)
Mozambique (Mocambique)
Myanmar (Myanma Naingngandaw)
Namibia
Nauru
Nepal
Netherlands (Nederland)
Netherlands Antilles (Nederlandse Antillen)
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway (Norge)
Oman (Uman)
Pakistan
Palau (Belau)
Panama
Papua New Guinea
Paraguay
Peru
Philippines (Pilipinas)
Pitcairn Islands
Poland (Polska)
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia (Rossiya)
Rwanda
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia (Al Arabiyah as Suudiyah)
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia (Slovensko)
Slovenia (Slovenija)
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
Spain (Espana)
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia (Saint Lucia)
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden (Sverige)
Switzerland (Schweiz)
Syria
Tajikistan
Tanzania
Thailand (Muang Thai)
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia (Tunis)
Turkey (Turkiye)
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
Uganda
Ukraine (Ukrayina)
United Arab Emirates (Al Imarat al Arabiyah al Muttahidah)
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands (Virgin Islands (U.S.))
Virgin Islands, British
Wallis and Futuna
Yemen (Al Yaman)
Zambia
Zimbabwe
E-mail address *
Language preference *
Afrikaans
Albanian
Arabic
Basque
Belarusian
Bulgarian
Catalan
Chinese
Croatian
Czech
Danish
Dutch
English
Estonian
Faeroese
Farsi
Finnish
French
Gaelic
German
Greek
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Italian
Japanese
Korean
Latin
Latvian
Lithuanian
Macedonian (FYROM)
Malay (Malaysia)
Maltese
Norwegian
Polish
Portuguese
Rhaeto-Romanic
Romanian
Russian
Serbian (Cyrillic)
Serbian (Latin)
Slovak
Slovenian
Sorbian
Spanish
Sutu
Swedish
Thai
Tsonga
Tswana
Turkish
Ukrainian
Urdu
Uzbek
Vietnamese
Xhosa
Yiddish
Zulu
Second language preference *
Afrikaans
Albanian
Arabic
Basque
Belarusian
Bulgarian
Catalan
Chinese
Croatian
Czech
Danish
Dutch
English
Estonian
Faeroese
Farsi
Finnish
French
Gaelic
German
Greek
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Italian
Japanese
Korean
Latin
Latvian
Lithuanian
Macedonian (FYROM)
Malay (Malaysia)
Maltese
Norwegian
Polish
Portuguese
Rhaeto-Romanic
Romanian
Russian
Serbian (Cyrillic)
Serbian (Latin)
Slovak
Slovenian
Sorbian
Spanish
Sutu
Swedish
Thai
Tsonga
Tswana
Turkish
Ukrainian
Urdu
Uzbek
Vietnamese
Xhosa
Yiddish
Zulu
Braille table preference *
British
Czech
Danish
Dutch
French
German
Icelandic
Norwegian
Polish
Russian
Spanish
Swedish
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Notes
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