info@exit-svizzeraitaliana.org Tel:+41754141121 |
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
______________________________________ __________________________________
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.
_________________________________________ __________________________________
info@exit-svizzeraitaliana.org Tel:+41754141121 |