Become a full member member

Application form

Your first name

Your last name

Your personal e-mail address

In case we have further questions

About your organisation

Your Organisations Name

Postal adrress

Address

City

State/Province

ZIP code

Country

Your organisations telephone number

Remember country code

Allowed characters are: 0-9

Office mail of your organisation

Website address

Key Contact

Name of person, and his/her role in the organisation

Year of legal registration

Brief description of your organisation

Mission, key objectives and key initiatives of your organisation

Key motivation to join the federation (your statement on why you want to be part of EU-IPFF)

Number of members or patients your organisation represents today

Allowed characters are: 0-9

As representative of my organisation, I expressly agree to and accept the EU-IPFF Statutes and the Code of Conduct

As representative of my organisation, I declare that:

Please upload the statutes of your organisation (in their official language) if available ADD YOUR FILES

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Max filesize: 10MB

Please upload your latest annual report & accounts - if available

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I read the privacy policy and agree

Note: All the data submitted in this formular will be deleted 27-11-2022