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Tel+41754141121 |
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How to become a member
fill
the application form
- pay
the subscription fee
write
your Living Will
- send
all these documents to exit-Italia
c.so Monte Cucco 144 10141
Torino – Italia
(you shall receive your Living Will
with the stamp of the association and your Exit card)
- inform
us of your application on line at info@exit-svizzeraitaliana.org
or by phone: 0039.011.7707.126
Application form
The undersigned………………born in………………………………
Living in………………………address………………………………Town…………
Telephone………………………..Mobile…………….fax………….e mail…………
applies to become a member of the Association as (state your choice):
- Ordinary member: Subscription fee 50 Euros
( subsequent annual fees 25 Euros)
- Member for life : 800 Euros: No fee in the following years.
PAYMENT INSTRUCTIONS
Money Transfer through a Bank:
specify your name, surname, address and our full IBAN
IBAN : IT03 Q 07601 01000 000039167101
BIC: BPIITRRXXX
Legible signature ………………………
Date (handwritten)………………………