Online Registration Form  
     
  Please complete the entire form; don't leave out any information.  
     
  SCS Membership  
  I wish to become a member of the SCS as:  
      Regular member (CHF 150):    
      Student* member (CHF 50):    
      Retired meber (CHF 80):    
      Institutional member (CHF 800):    
             
 

* SCS members are considered students if they are enrolled at a university and have not yet earned a PhD degree.

      
             
  Divisions  
  I would also like to join the following SCS divisions(s):  
      Analytical Chemistry:    
      Chemical Research:    
      Industrial Chemistry:
(+ 20.- individuals / 100.- organizations)		    
      Medicinal Chemistry:    
      Polymers and Colloids:    
             
  Sections  
  As a member of the SCS Division of Chemical Research I would also like to join the following section(s):  
      Photochemistry Section
(+ 50.- regular / 25.- student):		    
      Swiss Young Chemists' Association
(age limit 35):		    
     
  Personal information  
      Mr.    
      Ms.    
  First Name:    
  Last Name:    
  Title:    
  Date of birth:    
  Preferred Language:   German:    
      French:    
      English:    
             
  Home address  
  Address:    
  ZIP code, City:    
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  Tel:    
  Fax:    
  e-Mail:    
             
  Business address  
  Company/Institute:    
  Address:    
  ZIP code, City:    
  Country:    
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  e-Mail:    
             
  Mailing address:   Home:    
      Business:    
             
  Main occupation  
    (not working):    
    Industry:    
      University (tertiary education):    
      Teacher (secondary education):    
      Public Administration:    
      Non-governmental Organisation:    
      Self-employed:    
      Other:    
             
  Comments  
  Comments:    
             
  SCS membership is based on the calender year. I agree that my membership will be automatically renewed each year unless I resign in writing by the end of September of the current year. My resignation will apply from the start of the next calender year.