ELARD member application - Other Rural Development Organisation

Personal details used for account management First name Last name Email Telephone Organization / Company I wish to receive informational emails

Username & Password Username Password Verify your password

Network Details Network name Country Address CP Town Telephone Fax Email Web site

NetworkIdentity Formal/Informal Network (Check only if your network is formal) if formal, precise legal form Number of lags in your country Rural Territory of LAG Covered Rural Population – Size of LAG No of Leader I Projects carried out (if available) No of Leader II Projects carried out (if available) No of Leader + Projects carried out (if available)

Regular Representative to ELARD Title First name Last name Address CP Town Telephone Fax Email Web site

Substitute Representative to ELARD Title First name Last name Address CP Town Telephone Fax Email Web site

Description, aims, activities, ... Description of your network (brief history) Aims – Objectives Activities of your network Organizational Rules

By registering i declare that i share the purposes of the Association. I have read, understood and accept the Statutes of ELARD.