Registration – New Year’s Dinner

Your First Name (required)

Your Last Name (required)

Your Email (required)

Your phone number (required)

Subject:
New Year's Dinner Registration

Number of people (required)

How many eats vegetarian or gluten free (please write 0 if none)

Payment or bank transfer required by 14 January 2020.
- IBAN CH88 0070 0114 8028 1958 5
- BIC ZKBKCHZZ80A / Zürcher Kantonalbank, Postfach, 8010 Zürich
- Beneficiary: Samina Husain
Please indicate your name on the transfer.

No refunds after 12 January 2020

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