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.

Type *
Company
First name *
Last name *
Email *
Tél. Mobile*
Gender
Address
Zip Code / City /
Country
State/Province
Date of birth
Accepte les photos public
Comments
J'ai lu et j'accepte les statuts d'Aquarius
Contribution Swiss Francs