Application form
Single person I would like to join the friendship association Les Amis des Passions and support the orchestra with an annual donation of at least CHF 100.-
Couple / Family We would like to join the friendship association Les Amis des Passions as a couple / family and support the orchestra with an annual donation of at least CHF 250.-
Patron I/We would like to join the friendship association Les Amis des Passions as a patron and support the orchestra with an annual amount of at least CHF 500.-
First name*
Surname*
Street*
No.*
Postcode*
City*
Country*
Phone
e-mail*
Message

* Pflichtfelder / mandatory fields / champs obligatoires


Postkonto / Post Office Account No. / Compte postal
85-428750-1, Les Amis des Passions, 3000 Bern


Datenschutzerklärung
Send me a copy