Registration
This form allows you to record your subscription as a new member of the foundation. If you want to renew your subscription (if already a member), please contact foundation board instead by email info@aquarius-lausanne.ch.


Fields with * are mandatory
Individual
Type *
Company
Title
Last name *
First name *
Email
Gender
Address
Zip Code / City /
Country
State/Province
Date of birth
URL of photo/logo
J accepte que des photos de moi soient publiées sur le site aquarius et les réseaux sociaux
J ai lu et j accepte les statuts d Aquarius Lausanne*
Comments