SCFA / Request for membership Generated with MOOJ Proforms Basic Version 1.6 *Required information. This is a security field. If you want this form being sent leave the following email field blank: (in accordance with art. 3 of the by-laws) Salutation * Mr. Mrs. Ms. Firstname * Lastname * Address * add. Address P.O. Box ZIP * City * Country Switzerland Suisse Schweiz Deutschland Oesterreich France Andorra Australia Belgium Brazil Bulgaria Canada Cape Verde China Czech Republic Denmark Finland French Polynesia Greece Hong Kong Ireland Israel Italy Japan Liechtenstein Luxembourg Malta Martinique [France] Netherlands New Caledonia Norway Pakistan Poland Portugal Puerto Rico Réunion [France] Romania Russia Singapore Slovenia South Africa Spain Sweden Thailand Turkey United Arab Emirates United Kingdom United States of America Email * Phone Mobile Fax Date of birth * pdf-VersionPayment type Type of membership * Standard membership (CHF 120 / EUR 120) 3-year membership (CHF 320 / EUR 320) Youth membership (CHF 50 / EUR 50) Form of payment * To one of the listed accounts (e-banking) Please send me a payment order (only in Switzerland)
