JOIN SPAGN JOINING SARCOMA PATIENT ADVOCACY GLOBAL NETWORK Please enable JavaScript in your browser to complete this form. - Step 1 of 4(SPAGN): MEMBER APPLICATION FORMBy completing, signing, and submitting this application form we/I acknowledge and fully accept and abide by SPAGN’s statutes. ASSOCIATE/FULL MEMBERSOrganizations with a clear mission to support sarcoma or any sarcoma subtype are welcome to apply for a membership within SPAGN. All organizations join Sarcoma Patient Advocacy Global Network as Associate Members. Organizations may become a Full Member after one year as an Associate Member, if they meet all the criteria of Full Membership. To confirm your organization's eligibility for membership, kindly mark the appropriate box in the checkboxes provided below. Our organization: *Has a focus on providing programs and activities that directly impact and support individuals affected by sarcoma.Is recognized and/or registered as a non-profit organization.Has a strong alignment with the mission and vision of the SPAGN.Actively participates in the initiatives, campaigns, and activities organized by SPAGN.Has a commitment to sharing relevant information, resources, and best practices with other Network Members to promote global collaboration.Is willing to abide by SPAGN’s Code of Conduct in addition to adhering to the strict ethical guidelines for charities and non-profits according to their own national contextsI hereby apply for: *Membership in the Sarcoma Patient Advocacy Global Network e.V./Assoc.Requests for membershipsAll requests for membership must be made in writing and addressed to the Association’s Board of Directors, which will decide on acceptance of the application. Refusal by the Board of Directors is not subject to appeal. There is no obligation on the Directors of the Association to accept any application. All requests for memberships are based on the Association’s statutes. They are available in English and German. With this membership application form and his/her signature the applicant accepts these statutes and agrees to abide by them. Association/Organization/Facility/Others:Organization's Name (in native language) *Organization's Name (English version) *Abbreviation (eg SPAGN) *Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryMobile PhoneEmail *Org. - Legal Form/Status *Org. - Established in (Year): *Org. - Number of Members: *Disease/Sarcoma Subtype: *All SarcomasBone SarcomasSoft Tissue SarcomasOther (please specify below)Other (please specify)Website / URL *Facebook InstagramLinkedInYoutubeTwitterTikTokOur organisation is also a member of following networks or umbrella organisations: *Our organisation has strengths or experience in the following topics that could contribute to SPAGN: *Our organisation has developed the following projects, activities and/or services to support sarcoma/GIST/desmoids patients: *NextFirst contact-person to SPAGN:Title *Mr.Ms.Mrs.Prof.Dr.Name *FirstLastRole/Function inside the Org.: *Please state phone/mobile number if different from the organization's phone numberYour direct/personal email *Job/Profession *I agree to share my contact details (on the following page) with other members. *YesNoNextSecond contact-person to SPAGN:DropdownMr.Ms.Mrs.Prof.Dr.NameFirstLastRole/Function inside the Org.:Please state phone/mobile number if different from the organization's phone numberYour direct/personal email Job/Profession I agree to share my contact details (on the following page) with other members.YesNoPreviousNextTERMS OF AGREEMENT *I agree to the terms below.I confirm the information above is correct and that my organisation is eligible to join SPAGN as defined above.These terms of agreement apply to both Associate and Full Members. We / I understand participation in SPAGN is free of charge currently. However, such a network depends on the active participation of the member organizations and supporters, therefore engaged participations and contributions are encouraged. We are / I am aware SPAGN welcomes corporate donations, grants and sponsorship to fund certain projects and to enable the foundation to grow and develop. All financial relations with the healthcare industry are based on our “Code of Conduct” to secure independency and transparency. (This document is publicly available and can be downloaded in English under www.sarcoma-patients.eu) Full Name [This will serve as your signature] *FirstMiddleLastOrganisation & Your position within the organisation *ex. CEO at SPAGN Date *Submit