Organizations membership application form - Global Alliance for Incinerator Alternatives

Have you read and do you accept the GAIA member agreement?*
- Yes
Organization Name*
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 organization*
- Yes
Describe the nature of your organization and its goals*
Briefly describe the activities of your organization and indicate whether these are done at a local, national or international level*
How did you learn about GAIA and why do you want to become a member?*
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