Application form to join the Alliance as an Organization

Головна/Application form to join the Alliance as an Organization

Дата публікації 2012-05-28

Thank you for your desire to take part in the Alliance for Ukraine without Orphans. Your valuable efforts will help save the hurting children and transform their future.

Name of the Organization*

Full name of the leader*

Full name of the contact person*

Country

Region

District

City/village

Street and building number

Postal code

Phone

Fax

E-mail

Website

Year of foundation

Purpose and main activity of the organization*

Number of children at risk receiving help*

Fulfillment of the Alliance’ vision directly depends on the involvement of every member, including their financial support. Please indicate the amount your organization could regularly donate for the development of the Alliance:

Monthly

Quarterly