Beitritt Englisch

Declaration of membership

I hereby enrol as a member of "DIGNITAS - To live with dignity - To die with dignity".

I am aware of the conditions:

One-off joining fee Swiss Francs (CHF) 200 (approximately GBP £ 150 / USD $ 240 / Euro € 160); annual membership subscription at each individual member's discretion, yet, at least CHF 80 (approximately GBP £ 60 / USD $ 95 / Euro € 65). People living in very modest financial circumstances may apply for a reduction or even exemption of these fees.

Declaration of membership (PDF)

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On-line Declaration of membership:

First, please read the information-brochure carefully. This declaration of membership is binding and you are obliged to pay the one-off joining fee of Swiss Francs 200 and the subscription of Swiss Francs 80. Upon receipt of your declaration, we shall send you a confirmation of your membership as well as an invoice with payment instructions. Should you require general information, please send us an e-mail to

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* * Informations obligatoires
Select title *
First name(s) *
Surname(s) *
Street address *
Street address (continued)
Postal code / ZIP *
City *
Country *
Date of birth (XX.XX.XXXX Day.Month.Year) *
Place of birth *
Academic title
AHV-No. (Swiss residents only)
Home community (Swiss citizens only)
Nationality *
Telephone private
Telephone business
Fax private
Fax business
Mobile phone
E-mail *
My preferred language *
I confirm that i have read and accept the statutes (articles of association) *




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Case postale 17
8127 Forch

Téléphone national
043 366 10 70
Téléphone international
+41 43 366 10 70
(Lun. à Ven., 8:30 - 12:00 / 13:00 - 16:30 heures)

Télécopieur national
043 366 10 79
Télécopieur international
+41 43 366 10 79