Membership Application Form

Upon receipt of your application, fee and confirmation by the Club (either via e-mail or post), that your submission has been accepted, your will become a Full Member.

Fields with * are mandatory.
Membership Type * Family/Household Membership (75.00 CHF/p.a)
Individual Membership (50.00 CHF/p.a)
Family Name *
First Name*
Gender* male female
Date of Birth* (dd.mm.yyyy)
Nationality*
   
Only for Family Membership

Family member(s)
requesting Membership
First Name , Family Name Date of Birth Gender (m/f)
   
Street, Number*
Zip, Town*
E-Mail*
Telephone*
Mobile Number
Hobbies / Interests
Languages English Deutsch Francais Italiano Espanol Portugues Nederlands Svenska Suomi Polski Magyar Türkce Russian Arabic Czech Danish Norwegian Romanian Hebrew Greek Japanese Chinese Korean
Other (separated by comma):
Reason for Joining* Networking Integration Activities
Support of the Club:

Other:
How did you hear about us? Friends Citymarketing Homepage
Press:

Other:
Method of Payment*
I would like to remit the membership fee to the account indicated
below as soon as possible.

Züricher Kantonalbank
8010 Zürich
1132-0549-088 732
International Club Winterthur
Account 80-151-4
I would like to get a payment-slip via letter post to remit the
membership fee.
  Please read information regarding the Membership Rules, Regulations and the Statutes.
Send Application