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Mailining List Application
By completing the following application I responsibly declare that I want to register in the mailing list of NGO ACPELIA so to be informed with regular emails and to take part in programs and activities of the NGO.
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* Indicates required question
Email
*
Your email
Name & Surname
*
Your answer
Permanent Address
*
Your answer
Post Code
*
Your answer
City
*
Your answer
Occupation
*
Your answer
Interests- I am interested in programs and I will participate, that have to do with (You can fill in as many options as you like):
*
Environmental Consciousness
Environmental Entrepreneurship
Social Entrepreneurship
Racism
Interculturalism
Multiculturalism
Democracy
Social Discrimination
Racial and other forms of racism
Politics
Social and other issues
Culture
Diversity Acceptance
Entrepreneurship
Self-improvement
Unemployment
Immigration Policy
Non-formal education
Theatrical Games
Personal Development
Environmental Education
Education for people with disabilities or special needs
Visual Arts
Physical Education – Sports
Other:
Required
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
I do not wish to define
Work Number
Your answer
Mobile Number
*
Your answer
I would like to register as a member of the Association for the following reasons (Justify the reason/s why you want to register as a member of our Association):
*
Your answer
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