JOIN SPAGN JOINING SARCOMA PATIENT ADVOCACY GLOBAL NETWORK Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire. - Étape 1 sur 4(SPAGN): MEMBER APPLICATION FORMBy completing, signing, and submitting this application form we/I acknowledge and fully accept and abide by SPAGN?s statutes. ASSOCIATE/FULL MEMBERSOrganizations with a clear mission to support sarcoma or any sarcoma subtype are welcome to apply for a membership within SPAGN. All organizations join Sarcoma Patient Advocacy Global Network as Associate Members. Organizations may become a Full Member after one year as an Associate Member, if they meet all the criteria of Full Membership. To confirm your organization's eligibility for membership, kindly mark the appropriate box in the checkboxes provided below. Our organization: *Has a focus on providing programs and activities that directly impact and support individuals affected by sarcoma.Is recognized and/or registered as a non-profit organization.Has a strong alignment with the mission and vision of the SPAGN.Actively participates in the initiatives, campaigns, and activities organized by SPAGN.Has a commitment to sharing relevant information, resources, and best practices with other Network Members to promote global collaboration.Is willing to abide by SPAGN?s Code of Conduct in addition to adhering to the strict ethical guidelines for charities and non-profits according to their own national contextsI hereby apply for: *Membership in the Sarcoma Patient Advocacy Global Network e.V./Assoc.Requests for membershipsAll requests for membership must be made in writing and addressed to the Association?s Board of Directors, which will decide on acceptance of the application. Refusal by the Board of Directors is not subject to appeal. There is no obligation on the Directors of the Association to accept any application. All requests for memberships are based on the Association?s statutes. They are available in English and German. With this membership application form and his/her signature the applicant accepts these statutes and agrees to abide by them. Association/Organization/Facility/Others:Organization's Name (in native language) *Organization's Name (English version) *Abbreviation (eg SPAGN) *Address *Adresse ligne 1Adresse ligne 2VilleÉtat / Province / RégionCode postal--- Sélectionner : country ---AfghanistanAfrique du SudAlbanieAlgérieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArménieArubaAustralieAutricheAzerbaïdjanBahamasBahreïnBangladeshBarbadeBelgiqueBelizeBermudesBhoutanBiélorussieBolivie (État plurinational de)Bonaire, Saint Eustatius and SabaBosnie-HerzégovineBotswanaBrésilBulgarieBurkina FasoBurundiBéninCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongoCongo (République démocratique du)Corée (République de)Corée (République populaire démocratique de)Costa RicaCroatieCubaCuraçaoCôte d?IvoireDanemarkDjiboutiDominiqueEspagneEstonieEswatini (Royaume de)FidjiFinlandeFranceFédération RusseGabonGambieGhanaGibraltarGrenadeGroenlandGrèceGuadeloupeGuamGuatemalaGuerneseyGuinéeGuinée équatorialeGuinée-BissauGuyaneGuyaneGéorgieGéorgie du Sud et îles Sandwich du SudHaïtiHondurasHong KongHongrieIndeIndonésieIrakIran (République islamique d')Irlande (République d?)IslandeIsraëlItalieJamaïqueJaponJerseyJordanieKazakhstanKenyaKirghizistanKiribatiKosovoKoweïtLa RéunionLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacaoMacédoine du Nord (République de)MadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauritanieMayotteMexiqueMicronésie (États fédérés de)Moldova (République de)MonacoMongolieMontserratMonténégroMozambiqueMyanmarNamibieNauruNegara Brunei DarussalamNicaraguaNigerNigériaNiueNorvègeNouvelle-CalédonieNouvelle-ZélandeNépalOmanOugandaOuzbékistanPakistanPalauPalestine (État de)PanamaPapouasie-Nouvelle-GuinéeParaguayPays-BasPhilippinesPolognePolynésie françaisePorto RicoPortugalPérouQatarRoumanieRoyaume-Uni de Grande-Bretagne et d?Irlande du NordRwandaRépublique arabe syrienneRépublique centrafricaineRépublique dominicaineRépublique démocratique populaire du LaosRépublique tchèqueSahara occidentalSaint BarthélemySaint Pierre et MiquelonSaint-Christophe-et-NevisSaint-MarinSaint-Martin (partie française)Saint-Vincent-et-les GrenadinesSainte-Hélène, Ascension et Tristan da CunhaSainte-LucieSalvadorSamoaSamoa américainesSao Tomé et PrincipeSerbieSeychellesSierra LeoneSingapourSint Maarten (partie hollandaise)SlovaquieSlovénieSomalieSoudanSoudan du SudSri LankaSuisseSurinamSuèdeSénégalTadjikistanTaiwan, République de ChineTanzanie (République-Unie de)TchadTerres Australes FrançaisesTerritoire britannique de l?océan IndienThaïlandeTimor orientalTogoTokelauTongaTrinité et TobagoTunisieTurkménistanTurquieTuvaluUkraineUruguayVanuatuVenezuela (République bolivarienne du)VietnamWallis et FutunaYémenZambieZimbabweÉgypteÉmirats arabes unisÉquateurÉrythréeÉtat de la cité du VaticanÉtats-Unis d?AmériqueÉthiopieÎle BouvetÎle ChristmasÎle MauriceÎle NorfolkÎle de ManÎles CaïmansÎles Cocos (Keeling)Îles CookÎles Falkland (Malvinas)Îles FéroéÎles Heard et McDonaldÎles Mariannes du NordÎles MarshallÎles PitcairnÎles SalomonÎles Turques et CaïquesÎles Vierges (Américaines)Îles Vierges (Britanniques)Îles de Svalbard et Jan MayenÎles mineures américainesÎles ÅlandPaysMobile PhoneEmail *Org. - Legal Form/Status *Org. - Established in (Year): *Org. - Number of Members: *Disease/Sarcoma Subtype: *All SarcomasBone SarcomasSoft Tissue SarcomasOther (please specify below)Other (please specify)Website / URL *Facebook InstagramLinkedInYoutubeTwitterTikTokOur organisation is also a member of following networks or umbrella organisations: *Our organisation has strengths or experience in the following topics that could contribute to SPAGN: *Our organisation has developed the following projects, activities and/or services to support sarcoma/GIST/desmoids patients: *NextFirst contact-person to SPAGN:Title *Mr.Ms.Mrs.Prof.Dr.Name *PrénomNomRole/Function inside the Org.: *Please state phone/mobile number if different from the organization's phone numberYour direct/personal email *Job/Profession *I agree to share my contact details (on the following page) with other members. *YesNoNextSecond contact-person to SPAGN:DropdownMr.Ms.Mrs.Prof.Dr.NamePrénomNomRole/Function inside the Org.:Please state phone/mobile number if different from the organization's phone numberYour direct/personal email Job/Profession I agree to share my contact details (on the following page) with other members.YesNoPreviousNextTERMS OF AGREEMENT *I agree to the terms below.I confirm the information above is correct and that my organisation is eligible to join SPAGN as defined above.These terms of agreement apply to both Associate and Full Members. We / I understand participation in SPAGN is free of charge currently. However, such a network depends on the active participation of the member organizations and supporters, therefore engaged participations and contributions are encouraged. We are / I am aware SPAGN welcomes corporate donations, grants and sponsorship to fund certain projects and to enable the foundation to grow and develop. All financial relations with the healthcare industry are based on our ?Code of Conduct? to secure independency and transparency. (This document is publicly available and can be downloaded in English under www.sarcoma-patients.eu) Full Name [This will serve as your signature] *Prénom2ème prénomNomOrganisation & Your position within the organisation *ex. CEO at SPAGN Date *Submit