About your organisation
* Mandatory field

*Category of membership you wish to apply for
—Please choose an option—IndividualPartnerSupporter

*Your first and last name


*Your personal email


Postal address
Only if applicable


City


State/Province


ZIP Code


Country


Your organisations name
Only if applicable


Your organisation's telephone number
Including country code


Email of your organisation


*Key Contact
Name of main representative


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


*Mission, key objectives and key initiatives on PF or related diseases


*The main representatives´ key motivation to join the federation
Your statement on why you want to be part of EU-PFF


Please upload the statutes of your organisation (in their official language) - if available (*.doc, *.docx, *.pdf)

Max file size 10MB

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