First Name (*)

Last Name *

Profession *

Company/Position

Address *

Postcode *

City *

State *

Your Email *

Phone

Website

Membership Category *
—Please choose an option—Individual Member (CHF 100.- for 2019)Corperate Member (CHF 500.- for 2019)Patron (from CHF 2’000.- per calender year)Sponsor (please contact me/us for a sponsoring offer)

Are you interested in an active membership with voting right? (valid for Individual members and Patrons)
YesNo