Swiss Affiliated Member

Application for membership as «Swiss Affiliated Member»
Support/passive member without voting rights

"*" indicates required fields

Prefix (Mr/Mrs)*

Title

First Name*

Last Name*

Company*

Street (Private)*

Zipcode City (Private)*

Street (Business)*

Zipcode City (Business)*

Correspondence Address*

private address

business address

Invoice address*

private address

business address

E-Mail*

Phone

The annual membership fee is CHF 75.00 (the invoice will be sent by e-mail in PDF format)

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