Form of adhesion

Red

Form of Adhesion

Organisation / Network / Institution / Association:

Holding elections every:

Its latest elections were on:

Political Representatives (elected) responsible for the

Organisation:

working on the territory of:

Name and surname(s):

Job(s):

Address:

Headquarters' municipality:

Province:

State:

Country:

e-mail:

organisation's website:

Phone number:

FAX:

Technical Staff (non elected) responsible for the

Organisation:

working on the territory of:

Name and surname(s):

Job(s):

Address:

Headquarters' municipality:

Province:

State:

Country:

e-mail:

organisation's website:

Phone number :

FAX:

OTHER RELEVANT INFORMATION

Has your organisation ever participated in the VIII FAL World Assemblies?

Yes
No

In which one?

Does your organisation work with other Municipalities' Networks?

Yes
No

Which are they?

Make a brief description of the work carried out by your organisation :

Make a brief description of the task realized in the field of social inclusion and participatory democracy:

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Additional Information

Colaboran: