Registrations via this form are only valid after we confirmed them.

Conformed registrations are binding unless you cancelled it at least 14 days prior to the event.

Fields marked with * are mandatory.

Details for the event/art mediation

Contact details

Participant details, Participant 1

Participant details, Participant 2

Payment information
Cash payment at the register in the KunsthalleBank collection

I hereby allow the Kunstverein Lingen to collect all expenses for attendance and materials as described in the program via bank collection from my bank account. If you select this payment method you also have to enter the details of your bank account.
Authorization for collection via direct debit.
Creditor identification number: DE94ZZZ00001053055
Hereby I authorize the Kunstverein Lingen to collect payments from my bank account via direct debit. Additionally I instruct my bank institute to process the SEPA direct debit orders from the Kunstverein Lingen.