For Mozilla users, all format dates are yyyy-mm-dd.

Your Name
Your adress
Your Mensa ID* Date of expiration:
Profile page on  mensa.org
Date of birth
Email*
Profession Phone number:
Gender MF Facebook page:
Arrival time in France  Date:  Time:
 Airport:  Flight number:
Departure time in France  Date:  Time:  
 Airport:    Flight number:  
Visiting cities  Date  City
 Date  City
 Date  City
 Date  City
 Date  City
I travel ... alone... with other travelers
Event MeetHomestayInterpretPartyGuide
 Other
Info SmokeLiquorAllergy
 Other
Languages
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