JOIN SPAGN JOINING SARCOMA PATIENT ADVOCACY GLOBAL NETWORK Abilita JavaScript nel browser per completare questo modulo. - Passo 1 di 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 *Indirizzo (linea 1)Indirizzo (riga 2)CittàStato / Provincia / RegioneCodice postale--- Seleziona country ---AfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntartideAntigua e BarbudaArabia SauditaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgioBelizeBeninBermudaBhutanBielorussiaBirmaniaBolivia (Stato plurinazionale della)Bonaire, Saint Eustatius and SabaBosnia-ErzegovinaBotswanaBrasileBrunei DarrussalamBulgariaBurkina FasoBurundiCambogiaCamerunCanadaCapo VerdeChadCileCinaCiproColombiaComoreCongoCongo (Repubblica Democratica del)Costa RicaCosta d'AvorioCroaziaCubaCuraçaoDanimarcaDominicaEcuadorEgittoEl SalvadorEmirati Arabi UnitiEritreaEstoniaEtiopiaFederazione RussaFijiFilippineFinlandiaFranciaGabonGambiaGeorgiaGeorgia del Sud e Isole Sandwich AustraliGermaniaGhanaGiamaicaGiapponeGibilterraGibutiGiordaniaGreciaGrenadaGroenlandiaGuadalupaGuamGuatemalaGuernseyGuiana FranceseGuineaGuinea EquatorialeGuinea-BissauGuyanaHaitiHondurasHong KongIndiaIndonesiaIran (Repubblica Islamica dell')IraqIrlanda (Repubblica dell')IslandaIsola di BouvetIsola di ManIsola di NataleIsola di Saint BarthélemyIsole AlandIsole CaymanIsole Cocos (Keeling)Isole CookIsole Falkland (Malvinas)Isole FaroeIsole Heard e McDonaldIsole Marianne SettentrionaliIsole MarshallIsole NorfolkIsole Saint Pierre e MiquelonIsole SalomoneIsole Svalbard e Jan MayenIsole Turks e CaicosIsole Vergini (americane)Isole Vergini (britanniche)Isole minori esterne degli Stati Uniti d'AmericaIsraeleItaliaKazakistanKenyaKirghizistanKiribatiKorea (Repubblica Democratica del Popolo della)Korea (Repubblica della)KosovoKuwaitLesothoLettoniaLibanoLiberiaLibiaLiechtensteinLituaniaLussemburgoMacaoMacedonia del nord (Repubblica di)MadagascarMagliaMalawiMaldiveMalesiaMaliMaltaMaroccoMartinicaMauritaniaMauritiusMayotteMessicoMicronesia (Confederazione di stati della)Moldova (Repubblica della)MonacoMongoliaMontenegroMontserratMozambicoNamibiaNauruNepalNicaraguaNigerNigeriaNiueNorvegiaNuova CaledoniaNuova ZelandaOmanPaesi BassiPakistanPalauPalestina (Stato della)PanamaPapua Nuova GuineaParaguayPerùPitcairnPoloniaPolynesia FrancesePorto RicoPortogalloQatarRegno Unito della Gran Bretagna e dell'Irlanda del NordRepubblica Araba della SiriaRepubblica CecaRepubblica CentrafricanaRepubblica Democratica Popolare del LaosRepubblica DominicanaRiunione (Isola della)RomaniaRuandaSahara OccidentaleSaint Kitts e NevisSaint Vincent e GrenadineSaint-Martin (parte Francese)SamoaSamoa americaneSan MarinoSant'Elena, Ascensione e Tristan da CunhaSanta LuciaSao Tome e PríncipeSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (parte dei Paesi Bassi)SlovacchiaSloveniaSomaliaSpagnaSri LankaStati Uniti d'AmericaStato della Città del VaticanoSudafricaSudanSudan del SudSurinameSveziaSvizzeraTagikistanTaiwan, Repubblica di CinaTanzania (Repubblica Unita della)Terre Australi e Antartiche FrancesiTerritorio Britannico nell'Oceano IndianoThailandiaTimor EstTogoTokelauTongaTrinidad e TobagoTunisiaTurchiaTurkmenistanTuvaluUcrainaUgandaUngheriaUruguayUzbekistanVanuatuVenezuela (Repubblica Bolliviana del)VietnamWallis e FutunaYemenZambiaZimbabweeSwatini (Regno di)NazioneMobile 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 *NomeCognomeRole/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.NameNomeCognomeRole/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] *NomeMedioCognomeOrganisation & Your position within the organisation *ex. CEO at SPAGN Date *Submit