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Join AGE

MEMBERSHIP APPLICATION FORM

If you wish to apply for membership, please fill up this form and send it back to AGE. We will get back to you shortly.

PART 1 - NAME & CONTACT DETAILS
Name of Organisation
Address
President
Contact person
Position
Telephone
Fax
E-mail
Web site
PART 2- BRIEF DESCRIPTION OF THE ORGANISATION
Please give a short description of your organisation’s aims and objectives (according to your statutes or mission statement).
What are the main activities of your association? / How do you put your aims and objectives into practice ?
How would your organisation be able to contribute to the work programme of AGE in fulfilling its aims and objectives ?
What do you see as the main value added of joining AGE for your association ?
What type of association is applying for AGE membership? Please tick all the boxes that apply to your association (multiple answers possible):
Association of older people
Association working for older people
Membership organisation
National association
Regional association
European Organisation
European Federation
Not-for-profit
Research/Academic

Older people are the primary focus of work
Please explain your justification for your choice here e.g. membership or constitutional links between older people and the decision-making body:
Do you have any referees to support your application from amongst the current AGE membership ?
We have read the internal rules and statutes of AGE and agree with them (please tick box to confirm)
PART 3 – CATEGORY OF MEMBERSHIP AND FEES LEVEL
Full Member :  

What is the annual income of your association?

(AGE’s fees are calculated as 0,20% of the organizations’ total income, with a minimum of 300€ and a maximum of 2.300€).

Accession Country Member Annual fees: 300€

Observer Member: Annual fees: 300€


AGE - the European Older People's Platform - Rue Froissart 111 - 1040 Bruxelles Belgium - T : +32.2.280.14.70 - F: +32.2.280.15.22 - info@age-platform.org