Application - SwAPP

Salutation*

Title

First name*

Last name*

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

Street / Street No.*

Postal Code / City*

Country*

Phone

Mobile

E-Mail*

LinkedIn Adress

Recovery e-Mail

Billing contact

I have a different billing contact

Company Name*

Department

Street / Street No.*

Building

Postal Code / City*

Country*

PO number (if available)

Membership (fees / calendar year)*

How would you like to receive the invoice?*

University name*

Expected end of study (year)*

Please upload a copy of your valid student card*

Drop files here or

Max. file size: 25 MB.

Comments

This field is for validation purposes and should be left unchanged.

SwAPP Membership Application