HOW TO JOIN: 
-fill out the registration form 
- make your payment  
-fill out the Living Will
-send all material by email: info@exit-svizzeraitaliana.org or by telephone: 011/7707.126 
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REGISTRATION FORM
I (name) ............................................. born (date or birth) …………… in (place of birth)………….., currently a resident at: Street, Number ................, City.............. State ………… Zip Code..............
Telephone ........................... Cell....................... Fax ................................ Email ...........................................

- Supporting Member: Membership Fee € 100.00
(annual dues, following year of registration: € 40.00)
- Lifelong Member:  Membership Fee € 800.00
(Single payment of registration fees only.)
Lifelong Members pay only a registration fee of € 800.00 and no other membership fees or dues.

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