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)

In order to see the PDF-file, you might require the free Adobe Acrobat Reader

 

 

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 dignitas@dignitas.ch

Generated with Mad4Joomla Mailforms Version 1.2
* * Dati necessari
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
Profession
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) *

 

Actualità

 

Da Vedere


Video:

Dopo di me - gli ultimi giorni di Loris Bertocco

>> di più


Discorso:

«Esperienze di suicidio assistito in Svizzera»

>> di più


Campagna:

Per Vivere Liberi,
Fino alla Fine

>> di piû


Grande Sondaggio:

autodeterminazione
alla fine della vita

>> di più


Grafica: Suicidi falliti

>> di più


 

E-mail:
dignitas@dignitas.ch

Indirizzo:
DIGNITAS
Casella postale 17
8127 Forch
Svizzera

Telefono
043 366 10 70
Telefono internazionale
+41 43 366 10 70
(Lunedi a Venerdi, ore 9:00 - 12:00 / 13:30 - 16:30)

Fax
043 366 10 79
Fax internazionale
+41 43 366 10 79