Direct membership form/membership form as a PDF (below)

Send membership form directly

Name:

First name:

Street and house number:

Zip code and place of living:

Date of birth:

Date of birth 2 (partner):

Phone number:

Mobile phone number:

E-Mail:

Please tick accordingly:

Single membership (100 Francs/year)

Partner/Family membership (150 Francs/year)

Company membership (200 Francs/year)

Sponsor (sponsor amount freely set by you)

Payment slip

I would like to get a payment slip.

Choose today's date:

Es gilt die Datenschutzerklärung.

Hinweis: Bitte die mit * gekennzeichneten Felder ausfüllen.

Through sending the form you accept the terms and conditions of the organisation "Sano Prakash". -->

Membership Form PDF

PDF_Form_English.pdf

Adobe Acrobat Dokument 88.1 KB