Membership Form

The amount of 50 CHF (or 50 USD) should be sent to the above account number:

- Name of the Bank and Address: Credit Suisse, 8070 Zurich
- Compte: 80-500-4
- Swift Code: CRESCHZZ80A
- IBAN: CH25 0483 5052 5126 50000
- Account number: 80-500-4

Mrs. / Mr.* Mrs. Mr.

First Name:*

Last Name:*

Full Address:*

City:*

Postal Code:*

Country:*

Your Email:*

Tel:*

Signature:*

I agree that the membership will be confirmed after being approved by the Linkchild Committee.

I agree that my membership will be valid after the payment is received.

Please check before you send