First name + Last name
Date of Birth
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For which days would you like to win tickets?
Duo ticket for Horta Gallery (Friday)
Duo ticket for the Rebel Up night at VK (Saturday)
Duo ticket for Le Bureau Electronique night at LaVallée (Saturday)
Duo ticket for Horta Gallery (Sunday)
What's the name of "the daytime meeting point of Listen!"?
[TIE BREAKER] How many entries will we receive before Sunday April 14, 23:59?
Should be Empty: