Join the ASPUG-PP | ASPUG-PP | Association Suisse des Physiothérapeutes spécialisés en Uro-Gynécologie et Pelvi-Périnéologie

Join the ASPUG-PP too

ASPUG-PP - Swiss Association of Physiotherapists specialized in Uro-Gynecology and Pelvi-Perineology, offers you many advantages...

By validating your request of adhesion, you agree to pay a membership fee for the current year amounting to 120.- for one address and 140.- for two adresses, independently of your date of adhesion.

Title

Name

Surname

Date of birth

Business contact information

Company name

(if exists)

Street, number

Postcode

City

E-mail

Telephone number

Mobile number

ADD A SECOND ADDRESS

You practice in

Uro-Gynecology Woman

Urology Men

Ano-Rectal

Sexology

Child

Perineal Neurology

By validating your request of adhesion, you agree to pay a membership fee for the current year amounting to 120.- for one address and 140.- for two adresses, independently of your date of adhesion.

Civilité	Title
Madame	Madam
Monsieur	Mister
Nom	Name
Prénom	Surname
Date de naissance	Date of birth
Coordonnées	Business contact information
Raison sociale	Company name
si existe	if exists
Rue	Street, number
NPA	Postcode
Ville	City
E-mail	E-mail
Téléphone	Telephone number
Mobile	Mobile number
Adresse 2	ADD A SECOND ADDRESS
Vous pratiquez en	You practice in
Date de formation	Date of training

mail-1	s.balisson@ctmen.ch
mail-2	secretariat@aspug.ch
mail-3	aspug-pp@i-connex.com
copie demandeur [oui]	oui