Registration Form

Completing this form is not binding in any way, and the information
will remain confidential to the Foundation SWISS BRIDGE.

I/we wish	to join the Supporters and Friends of SWISS BRIDGE to join the Inner Circle of SWISS BRIDGE to make SWISS BRIDGE the beneficiary of my/our donation to make SWISS BRIDGE the beneficiary of my/our legacy
in the amount of CHF
	Donors’ account: Credit Suisse, 8070 Zurich Account IBAN: CH52 0483 5095 7385 1100 0
Other requests/information to SWISS BRIDGE
My/our name as printed below may	be shown in the reports of SWISS BRIDGE not be shown in the reports of SWISS BRIDGE
Sender
Firstname*
Name*
Title*
Position
Company
Address*
ZIP/City*
Country*
Telephone*
Fax
Email*
	* Please complete all compulsory fields.