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Application for
Recognition as an ECG Local Chapter “active”

(Step 2)

 

We hereby apply to change the state of our ECG Local Chapter from “under development” to “active and to be approved as an official ECG Local Chapter.

 

We have read the “Guidelines to found a regional Local Chapter”.

 

 

Name of Local Chapter

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Name of Applicant 1**

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Name of Applicant 2**

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Name of Applicant 3**

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Name of Applicant 4**

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Name of Applicant 5**

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Street***

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Postal Code, City***

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Country***

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Telephone number***

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Email Address***

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* Name of the ECG association which your local chapter is affiliated. If you don’t have an ECG association in your country, please enter “ECG International Federation”.

** These two people will be listed as Local Chapter coordinators.
*** This data will be used as the official address of the Local Chapter.

 

 

City, Date:

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Please complete this form and send the Word document to International Reception (international@ecogood.or g).