Networks and alliances membership application form - Global Alliance for Incinerator Alternatives

Have you read and do you accept the GAIA member agreements?*
- Yes
Network / Alliance represented*
Name of contact person*
First Last
Title / Position*
Email address*
Website / Facebook
Phone number*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Region*
Confirm that you are authorized to officially represent your network/alliance*
- Yes
Strength of the network/alliance (number of members)*
Briefly describe the nature of your network/alliance and its goals*
Briefly describe the activities of your network/alliance and indicate if these are done at a local, national or international level*
Please indicate which environmental justice and waste issues your network/alliance is especially involved in and can play an active role*
- Incineration
- Zero Waste
- Plastic pollution
- Landfills
- Wastepickers rights
How did you learn about GAIA and why do you want to become a member?*
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