Membership form for individuals

1. Personal details

Professional activity *

First name *

Last name (capital letters please) *

Street *

Number *

Postal code *

City *

Country *

Telephone (+ international code) *

E-mail address *

Website

3. Your involvement in ICD

Which other European networks, if any, do you belong to ?

In what way, if any, do you collaborate with organisations in other European countries ?

100 words maximum

What is your interest in/involvement, if any, with European political/European Union matters ?

100 words maximum

How did you hear about the Platform for Intercultural Europe ?* *

100 words maximum

What motivates you to join the Platform for Intercultural Europe ? *

100 words maximum

4. Confirmation

Submission of this form will constitute a binding signature

I hereby declare that I wish to become a formal supporter of the Platform for Intercultural Europe

I explicitly endorse the Platform’s role vis-à-vis the European Union

I hereby subscribe to the Platform’s statutes

I support the Platform's manifesto The Rainbow Paper. Intercultural Dialogue - From Practice to Policy and Back. (Support requires on-line signature on http://rainbowpaper.labforculture.org/signup/public/signup)

I agree to pay the membership fee of currently 50€ per calendar year (subject to review by the Annual General Assembly)

The data collected in this form will only be used for the purposes of the Platform for Intercultural Europe. Upon approval of your application, your contact details

might be transmitted to third parties in the context of the Platform's collaboration with them or
for their use in correspondence with the Platform's mission and objectives

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