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Application to
Start a new ECG Local Chapter “under development” (Step 1)

 

We hereby declare that we would like to start a new ECG Local Chapter within our region and apply for the status Local Chapter “under development”.

 

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

We confirm that we read the Code of Conduct and confirm that we will conform to it.

 

 

Name of Local Chapter

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Name of Applicant 1**

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Name of Applicant 2**

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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 t he Word document to International Reception (international@ecogood.org).