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


Please include full postal address






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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