International Association Against Psychiatric Assault 

 Spechtweg 1, 4125 Riehen, Switzerland
The association is a Human Rights organization that opposes psychiatric coercion and aims to abolish psychiatric coercive measures altogether, promoting the fundamental rights of self-determination, liberty, and human dignity.
[Please print out or re-write this form or use this PDF and send it to the IAAPA secretariat at: IAAPA, Vorbergstr. 9a, 10823 Berlin, Germany.] 
 

 
Application for Membership in the 
 
International Association Against Psychiatric Assault (IAAPA) 

 
 
 
I hereby apply for membership in the International Association Against Psychiatric Assault (IAAPA). 
 
With this application I accept the conditions of membership as laid down in the statutes of the IAAPA published on its official website www.iaapa.ch. 
The annual membership fee is 10 Swiss Francs or 6 US$ or 6 Euro. 
Bank account: IAAPA, Credit Swiss: Albangraben 1-3, Basel, #0060-997776-51 
 
I enclose a photocopy of my I.D., which includes a photograph. 
 
[Please use block letters:] 
 
First Name: .................................................................... 
 
Last Name: .................................................................... 
 
E-mail address: .............................................................. 
 
Date: ............................................................... 
 
 
Signed: ........................................................... 
 

[As soon as the secretariat receives your application by post, it will confirm receipt by e-mail.]