Please fill in the data about You
Your Name:* (please
write using ISO Latin keyboard settings)
Your Last name:*
(please write
using ISO Latin keyboard settings)
gender:*
female
male
email : *
Secondary Email Address: *
(other members
could mail You at this address)
City *
ZIP:*
Contact street address or PO Box:
(not required)
Country*
choose country
Afghanistan
Albania (central)
Albania - Northern Epirus (Neobyzantine Union)
Albania - Skadar Region (Neobyzantine Union)
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia, Republic of (Neobyzantine Union)
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus - (Neobyzantine Union)
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina(federation of)
Botswana
Bouvet Island
Brazil
British Indian Ocean Territories
Brunei Darussalam
Bulgaria - (Neobyzantine Union)
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
China (Hong Kong)
China (Macau)
China (Taiwan)
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Croatia - Republika Srpska Krajina
Cuba
Cyprus - (Neobyzantine Union)
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar (UK)
Greece (Hellenic Republic) - (Neobyzantine Union)
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island And Mcdonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan - (Neobyzantine Union)
Kenya
Kiribati
Democratic People's Republic of Korea
Republic of Korea
Kuwait
Kyrgyzstan
Lao Peoples Democratic Republic
Latvia
Lebanon - (Neobyzantine Union)
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Former Yugoslav Republic of Macedonia -(Neobyzantine Union)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova - (Neobyzantine Union)
Monaco
Mongolia
Montenegro - (Neobyzantine Union)
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine - (Neobyzantine Union)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Republika Srpska (Bosnia and Hertzegovina) - (Neobyzantine Union)
Romania - (Neobyzantine Union)
Russian Federation- (Neobyzantine Union)
Russia (Kaliningrad) - (Neobyzantine Union)
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland (Lewis)
Senegal
Serbia (Republic of) - (Neobyzantine Union)
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey (Central Little Asian Panninsula)
(turkey) - Constantinople City (Neobyzantine Union)
(turkey) - Ionia Region (Neobyzantine Union)
(turkey) - Kurdistan
(turkey) - Lesser Armenia (Neobyzantine Union)
(turkey) - Pontus Region (Little Asia) (Neobyzantine Union)
(turkey) - South Thrace(Adrianoples,Yedrine) (Neobyzantine Union)
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine - (Neobyzantine Union)
United Arab Emirates
United Kingdom
United States of America
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands(British)
Virgin Islands(U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Zaire
Zambia
Zimbabwe
Primary Language *
select language
Afrikaans
Albanian
Arabic
Basque
Belarusian
Bulgarian
Catalan
Chinese
Croatian
Czech
Danish
Dutch
English
Estonian
Faeroese
Farsi
Finnish
French
German
Greek
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Italian
Japanese
Korean
Latvian
Lithuanian
(Slavic) Macedonian
Malaysian
Maltese
Norwegian
Polish
Portuguese
Rhaeto-Romanic
Romanian
Russian
Sami (Lappish)
Serbian
Slovak
Slovenian
Sorbian
Spanish
Sutu
Swedish
Thai
Tsonga
Tswana
turkish
Ukrainian
Urdu
Venda
Vietnamese
Xhosa
Yiddish
Zulu
Kurdish
Secondary Language
select language
Afrikaans
Albanian
Arabic
Basque
Belarusian
Bulgarian
Catalan
Chinese
Croatian
Czech
Danish
Dutch
English
Estonian
Faeroese
Farsi
Finnish
French
German
Greek
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Italian
Japanese
Korean
Latvian
Lithuanian
(Slavic) Macedonian
Malaysian
Maltese
Norwegian
Polish
Portuguese
Rhaeto-Romanic
Romanian
Russian
Sami (Lappish)
Serbian
Slovak
Slovenian
Sorbian
Spanish
Sutu
Swedish
Thai
Tsonga
Tswana
turkish
Ukrainian
Urdu
Venda
Vietnamese
Xhosa
Yiddish
Zulu
Kurdish
Contact Language*
select language
English
Greek
Serbian
Russian
Other spoken language (type into
the box and separate with commas "," )
Country of origin
choose country
Afghanistan
Albania (central)
Albania - Northern Epirus (Neobyzantine Union)
Albania - Skadar Region (Neobyzantine Union)
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia, Republic of (Neobyzantine Union)
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus - (Neobyzantine Union)
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina(federation of)
Botswana
Bouvet Island
Brazil
British Indian Ocean Territories
Brunei Darussalam
Bulgaria - (Neobyzantine Union)
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
China (Hong Kong)
China (Macau)
China (Taiwan)
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Croatia - Republika Srpska Krajina
Cuba
Cyprus - (Neobyzantine Union)
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar (UK)
Greece (Hellenic Republic) - (Neobyzantine Union)
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island And Mcdonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan - (Neobyzantine Union)
Kenya
Kiribati
Democratic People's Republic of Korea
Republic of Korea
Kuwait
Kyrgyzstan
Lao Peoples Democratic Republic
Latvia
Lebanon - (Neobyzantine Union)
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Former Yugoslav Republic of Macedonia -(Neobyzantine Union)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova - (Neobyzantine Union)
Monaco
Mongolia
Montenegro - (Neobyzantine Union)
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine - (Neobyzantine Union)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Republika Srpska (Bosnia and Hertzegovina) - (Neobyzantine Union)
Romania - (Neobyzantine Union)
Russian Federation- (Neobyzantine Union)
Russia (Kaliningrad) - (Neobyzantine Union)
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland (Lewis)
Senegal
Serbia (Republic of) - (Neobyzantine Union)
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey (Central Little Asian Panninsula)
(turkey) - Constantinople City (Neobyzantine Union)
(turkey) - Ionia Region (Neobyzantine Union)
(turkey) - Kurdistan
(turkey) - Lesser Armenia (Neobyzantine Union)
(turkey) - Pontus Region (Little Asia) (Neobyzantine Union)
(turkey) - South Thrace(Adrianoples,Yedrine) (Neobyzantine Union)
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine - (Neobyzantine Union)
United Arab Emirates
United Kingdom
United States of America
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands(British)
Virgin Islands(U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Zaire
Zambia
Zimbabwe
Year of birth :*
Martial status
(not required)
single
married
divorced
widow
not specified
Your current job :
Monthly average income :
(not required)
1€(euro) is approximately
1.1$(US)
select salary level
200 € or less
200 - 500 €
500 - 1000 €
1000 - 5000 €
5000 - 10,000 €
more than 10,000 €
Your influence with the officials
*
(Please provide us with
information because it could be valuable to the Movement)
not influent at any official body
some influence
some influence at the local community
some influence at the city officials
some influence at the regional level
some influence at the state or government level
strong influence
high influence at the local community
high influence at the city officials
high influence at the regional level
high influence at the state or government officials
Computer and Information Technology competence *
select level
low level
medium level - Office user
medium level - multimedia user
professional - audio producer
professional - web designer
professional - live streaming producer
professional - programmer (C,Java,Perl,databases,etc.)
IT pro - network specialist
IT pro - communications specialist
Contact information
ICQ number:
this is my primary Messaging program
AOL account:
this is my primary Messaging program
MSN account email:
this is my primary Messaging program
Yahoo! account name:
this is my primary Messaging program
Other Instant Messaging program:
this is my primary Messaging program
Your personal Home Page address:
Telephone number:
(Telephone or mobile phone number is required ! *
)
Mobile phone number:
FAX:
Write us how You would like to be involved
in the activities of the Movement:
What is the weekly amount of Your
free time You would like to spend on the activities of the Movement?
Select desired level of the activities in NBM
occasionally - up to an hour (very busy)
between 1 and 2 hours
regularly (up to an hour a day)
would like to be active in organising (2
- 3 hours a day)
I have lot of free time to help (count on me
everyday)