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EASI Membership request form

Please scroll down the form to finish your request.

Membership request form

Organization name 

 

Brief description of the organization
(please send also your organization logo to easi@easi-socialinnovation.org)

 

Address 
Please include full postal address

 

Country 

 

E-mail 

 

Type of organization 

 

Reason for requesting membership to EaSI 

 

Which EaSI development domains are of most interest to your organization? 

 

Please name the most relevant social innovation activity performed by your organization 

 

Which competences your organization could mobilize to social innovation projects? 

 

Contact person

Name of organization’s contact person 

 

E-mail of the contact person 

 

Phone number 

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