Contact form - lupus suisse

Responsible for initial contact

Please update your contact details if necessary. Thank you.

lupus suisse | Josefstrasse 92 | 8005 Zurich | 044 487 40 67 | info@lupus-suisse.ch

Membership – Patrons – Donations

Salutation

First Name *

Last Name *

Phone

Email *

Address *

ZIP *

City *

I am applying for the following membership:

Active Member | CHF 45.00

Associate Member | CHF 45.00

Group membership | CHF 100.00

Supporting membership with a donation amount of your choice

I would like to make a donation

I would like to subscribe to the lupus suisse newsletter.

Yes – I look forward to receiving the newsletter

I would like to actively support Lupus Suisse.

Joining the regional group

I would like to learn more about volunteering with Lupus Suisse.

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