Change of address

Anrede

Last name

First name

Date of birth

E-Mail

Previous address

Street/no

Postal Code

Municipality

Country

New address

Street/no

Postal Code

Municipality

Country

Message

By submitting my data, I consent to the storage and processing thereof by Swiss Transfusion SRC for the purpose of contacting me in relation to my enquiry. Personal data, private addresses and e-mail addresses will, of course, be treated as confidential and will not be disclosed to third parties.

I have read the above declaration and agree to it.