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Patronage registration details
Gültigkeit der Gönnerbeiträge
Wir danken Ihnen im voraus für Ihre Unterstützung der Rega. Mit der Zahlung des Beitrages für das Jahr 2010 bleibt Ihre Gönnerschaft bis zum 15. Mai 2011 gültig.
A paying-in slip with your registration details will be sent to you in the subsequent weekly mail despatch.
I would like to apply for Rega patronage as follows:
CHF 30.- Individual
CHF 40.- One-parent family (single parent and children under the age of 18)
CHF 60.- Couple (married couple or partners living at the same address)
CHF 70.- Family (parents and children under the age of 18)
Title:
Mr.
Mrs.
Family
Family name:
First name:
Street/No.:
Street 2:
P.O. Box:
Postcode/Town:
Country:
CH
LI
Year of birth:
E-Mail:
Additional family members:
First name:
Year of birth:
How did you get to know about Rega or Rega patronage?
TV-Spot
cinema spot
banner on the Internet
poster in the S-Bahn railway station/trains
through a letter
family, friends, acquaintances
trade fair or event
TV/radio report or newspaper article
personal experience
advert/brochure
Method of payment:
Invoice
Credit card
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2007 Rega