Yes, I/we hereby declare my/our membership in the association Pro Elisarion
Member as
Annual fee
Single person
Fr.
90.–
75.–
Student
Fr.
30.–
25.–
Couple
Fr.
150.–
125.–
Company/organization
Fr.
250.–
210.–
*First name
*Last name
First name partner
Last name partner
Company/organization
*Address
Address supplement
*Postal code
*Place
*E-mail
Telephone
Comments
 
 
Please enter the security code. It consists of 5 characters.
*Security code
Security code is not readable | Why is a security code?

What does the verification code (captcha) do?

This test verifies whether the entries have been made by a human or a machine.

Generally speaking, machines (software programs) cannot read the sequence of letters and numbers. This prevents spambots from making entries in directories and filling them with gibberish or inserting malicious content (computer viruses, worms, Trojan horses etc.)

If the code is illegible to humans, a new code can be requested. Upper/lower casing is not important when entering the code.

Application form
*Fields to be filled