I wish to send a message.
	I / We wish to become a new member / new members of the Society Switzerland-Bhutan. Annual member fee: single CHF 100 partner CHF 150 (2 persons or family)
	I wish to up-date my contact details.

	Mr. Mrs.
first name
family name
	2nd person (only for new membership):
	Mr. Mrs.
first name 2
last name 2
street
city
ZIP
country
phone
mobile
e-mail
message