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Support Rega
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:
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