Membership Form Personal Information Family Name (required) Given Name (please state title: Mr, Mrs, Miss, Dr. etc) With which country do you wish to be registered? Postal Address (required) Date of Birth (required) Preferred Telephone (required) Email address (required) Participation at Olympic Games and / or World Championships (required) PlayerCoachDelegateRefereeUmpire State Years: Olympic Games (Example - 1996, 2000, 2004……) World Championships (Example – 2009, 2010, 2013……) Fees: preferred membership option 20 CHF for one year80 CHF for five years Date (required)
