Registration form

Mr., Mrs. or Ms.:

  

Name :

  

First Name :

  

Nationality :

  

Profession :

  

Address :

  
   

 

  

Phone :

  

Fax :

  

E-mail :

  

Person introduced by :

  
     
   

 

Annual registration fee : Fs 80.-
 

 

 
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Geneva Asia Society - 20, rue Rothschild - 1202 Geneva (Switzerland)
Phone: +41 022 908 58 20 - E-mail: info@genasia.ch