Become a member

Become a member

LAST NAME

First

Surname

Last

I wish to be a member of Eurasia Association for 1 year as

An individual member (60 CHF/€)

A family (80 CHF/€)

A moral member - organisation (200 CHF/€)

A supporting member (Your individual member fee + a donation of your choice)

A reduced price member (student/retired...) (amount of your choice)

Address

City

State/Province

Zip/Postal

Country

Phone number

In addition to being a member I would like to participate by offering:

my time

(please specify your availability)

my skills and or ressources

(please specify)