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Benefactors Association
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Step 1 from 3: Personal details

Personal details:
Gender * Female Male
First name *
Last name *
Date of birth * (DD/MM/YYYY)
Street and number *
ZIP code and town *
Country *
Phone (for further queries) *
E-Mail *
GTCM *

I confirm that I have read the GTCM and agree to them.

Payment Method:
Payment Method *
GTC *

II confirm having read the GTC and that I do accept them.

Information about the children:
Children * No Yes
Number of children (18 and under) *
Single parent * No Yes

* Fields must be completed

Additional information

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Members of the Benefactors' Association receive CHF 200,000 if they suffer spinal paralysis as a result of an accident. Become a member

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