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APPLICATION FORM

 

NAME:...........................................................................................................

NAME OF ORGANIZATION.............................................................................

ADDRESS (POSTAL)......................................................................................

(LOCATION)...................................................................................................

TELEPHONE.................................................................................................

FAX NUMBER...............................................................................................

E-MAIL ADDRESS..........................................................................................

IF ORGANIZATION CONTACT NAME AND TITLE.............................................
.....................................................................................................................

OTHER NGOs YOU ARE A MEMBER OF (WHETHER AS AN INDIVIDUAL OR AS AN ORGANIZATION).................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

 

..................................
Signature
Date:

PLEASE SEND A COPY OF YOUR CONSTITUTION OR BROCHURE AND A LIST OF YOUR MEMBERS WITH THIS FORM, OR IF YOU WISH TO E-MAIL THE FORM, PLEASE SEND THE ACCOMPANYING DOCUMENTS BY POST.

YOU MAY E-MAIL THIS FORM TO awlafric@ghana.com

 

 

 

 

 

 

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Created: May 17, 2002
Sadia Chinery-Hesse, Publicity Coordinator, AWLA©
http://www.awlaafrica.org