Membership request form

                   Please scroll down the form to finish your request.

Organization legal name

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

Address 
Please include the headquarter 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 initiative performed by your organization.

Which competences your organisation 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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