Registration SATD

Salutations*

Mrs

Title

First name*

Last name*

Date of birth*

E-mail*

Phone private/mobile

Work phone

Lunch

Yes

Corresponding address

Please choose your address type*

Private

Work

Street*

Zipcode/City*

Billing address (if different than corresponding address)

Street

Zipcode/City

Additional information

Lunch

I am vegetarian

Remarks

Participation Online

Yes

Participation costs

I am a student

Participation costs CHF 100.- for members

Participation costs CHF 150.- if you are not a member

Privacy*

I agree to the privacy policy

Ich akzeptiere die Datenschutzerklärung.

Diese Feld nicht ausfüllen!