Fähri-Verein Basel - membershiop form

Membership Registration Form

Membership Type *

Salutation *

First Name *

Name *

Company/Association Name

Address *

Address supplement

ZIP CODE *

Place *

Country *

E-Mail *

Phone Number

Company Phone Number

Birth Date

Membership invoice as PDF by e-mail *

Yes No

All correspondence electronically *

Yes No

First and last name of partner

Year of birth

First and last name child 1

Date of birth child 1

First and last name child 2

Date of birth child 2

Vor- und Nachname Kind 3

First and last name child 3

How did you find out about our association? *

if "Other" please specify

Remarks

Sicherheitscode *

Bitte geben Sie nebenstehenden Sicherheitscode in obiges Feld ein (Spam-Schutz).

Spendenkonti Fähri-Verein Basel	PostFinance Schweiz, CH 3030 Bern / 40-033943-3 / SWIFT BIC, POFICHBEXXX / IBAN CH10 0900 0000 4003 3943 3 UBS AG, 4001 Basel / BIC/SWIFT UBSWCHZH80A / IBAN CH07 0023 3233 1284 6327 0

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