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Form for online case registration
What's the subject matter involved? *
What would you like to discuss at the appointment? (Describe your concerns.) *
When are you available? *
Days:
Monday
Tuesday
Wednesday
Thursday
Friday
Time
Any time
08:00-09:00
09:00-10:00
10:00-11:00
11:00-12:00
12:00-13:00
13:00-14:00
14:00-15:00
15:00-16:00
16:00-17:00
17:00-18:00
Last name *
First name *
Place of residence *
E-mail *
Phone *
Preferred meeting place:
Bern
Langenthal
Niederbipp
Thun
I have read and understood the
terms of use
and legal information. *
Submit
webcontact-bracherpartner@itds.ch
