Membership request

Comments

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First name*

Last name*

Name of referring member or how did you get to know SwAPP

Individual membership address according to Art 3 Articles of Association

Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Phone

Mobile

E-Mail*

Enter Email Confirm Email

Billing contact

I have a different billing contact

Billing contact

Company Name*

Department

Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Purchase Order (PO) number (if available)

Membership category*

How would you like to receive the invoice?*

University name*

Expected end of study (year)*

Please upload a copy of your valid student card*

Accepted file types: jpg, png, pdf, webp, Max. file size: 25 MB.

Current position*

Affiliation*

We would be delighted to know more about your background and experience. Sharing your professional profile (e.g. LinkedIn, Xing, website, or CV) helps us ensure that our members are actively engaged in the field of therapeutic products, which is central to SwAPP’s mission.

Share professional profile as a*

Link (LinkedIn, Xing, website...)

Document (CV...)

Both

Professional profile*

Please attach your document*

Accepted file types: jpg, png, pdf, webp, doc, docx, odt, Max. file size: 1 MB.

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SwAPP Membership Request Form

Individual membership address according to Art 3 Articles of Association

Billing contact