Ee007 Kontakt- und Anmeldeformular - Englisch

Contact and registration form

Would you like to become a member of the association for free and pull together with me (us)? Please bring good ideas under "Comments"

Salutation

Language

Firstname

Surname

Street

PLZ

Place

Phone Home

Phone Mobile

Country

E-Mail-Address

Could you help me as a translator? Could you help me as a translator? Yes No

Please send me your newsletter in each case: Please send me your newsletter in each case: Yes No

Please send me some flyers for my area: Please send me some flyers for my area: 10 30 50 more

Do you know someone who is dissatisfied with a doctor's bill and whom you can refer to this page? Do you know someone who is dissatisfied with a doctor's bill and whom you can refer to this page? Yes No

Do you know how we could organize a “standard health insurance” demo? Do you know how we could organize a “standard health insurance” demo? Yes No

As a voting lawyer, could you help me? As a voting lawyer, could you help me? Yes No

Further messages, questions and suggestions:

10 + 14 =

Here you can access the large table of contents for all three pages „Einheits-Krankenkasse“, „Stop-Spital-Finanzierung“ and „Stop-Schweiz-Zuschlag“ – for technical reasons only in German.
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Contact