IWI Basel 2020 Membership Form
Thank you for your interest in membership in The International Women's Institute. Please fill out the form below.

Payment Details:- Annual Subscription is 70 CHF for the calendar year.
Annual Subscription Payment may be made at any event in cash or via bank transfer.
If you wish to pay by bank transfer, please pay to the following account:

Bank: PostFinance
IBAN: CH38 0900 0000 6141 0200 0

Payment To:
International Women's Institute Basel
11b Rue des Landes
Hegenheim
68220
France
Email address *
Your details
Last Name *
Your answer
First Name *
Your answer
Address *
Your answer
Mobile Phone Number *
Your answer
Home Phone Number
Your answer
Are you on Facebook? *
We use Facebook and Facebook Messenger as a primary means of contact. If you are not on Facebook, we can email you about upcoming events, member info, etc.
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy