Membership Application: Individual

You are here: Home / Membership / Membership Application: Individual

Name*

Username

Display Name

Title/position

Country*

City*

Address*

ZIP/postal code*

Phone*

Fax

E-mail Address*

Website

Describe your drug related work

How can you contribute to the work of the WFAD?

In what ways can WFAD support your work?

Are you an individual?*

Yes

Attachments

Upload

MEMBERSHIP AGREEMENT As a member you agree to support and work toward the goals in the <a href="https://wfad.se/about-wfad/wfad-declaration" style="font-weight:bold;" target="_blank">Constitution</a> of WFAD. Membership may be terminated if your actions and activities are contrary to the objectives of WFAD or the WFAD by-laws or <a href="https://wfad.se/wfad-declaration" style="font-weight:bold;" target="_blank">Constitution</a>. *

I agree

_{By submitting this application you consent that we store your information - you may unregister at any time.}

Only fill in if you are not human