Become an associate member

Application form

Category of membership you wish to apply for

Please select one

Name

First and last name

Your personal e-mail address

Postal address of your organisation

Only if applicable

Address

City

State/province

ZIP code

Country

Your organisations name

Only if applicable

Telephone of your organisation

Remember country code

Allowed characters are: 0-9

E-mail of your organisation

Website address

Key contact

Name of main representative

Brief description of what you do in the field of IPF or related diseases

Mission, key objectives and key initiatives on IPF or related diseases

The main representatives´ key motivation to join the federation

(your statement on why you want to be part of EU-IPFF)

Please upload the statutes of your organisation (in their official language) - if available

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Max filesize: 10MB

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Note: All the data submitted in this formular will be deleted 26-12-2021