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Patronage registration details
 
We thank you for your support of Rega - Swiss Air Rescue. With your payment of the patronage amount your patronage will become active for the year 2010 and remain valid until may 15th, 2011.

 
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:
   
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?
 
 
 
Method of payment: Invoice Credit card