Request edit access
Partner Registration Form: World NTD Day 2022
Please register by January 14, 2022 to confirm your intention to participate. For questions please contact wntdday@unitingtocombatntds.org
Sign in to Google to save your progress. Learn more
Organization / Company Name *
Contact Name *
Contact Title *
Contact Email Address *
Address
Telephone (please include country code)
Website *
Website will be linked from the partner page on www.worldntdday.org
Organization logo *
Logo will be highlighted on the partner page on www.worldntdday.org. Please enter a URL for the file below, or email us directly.
Briefly, please explain your organization’s mission or connection with the NTD community
We agree to support World NTD Day 2022 *
Required
We are interested in learning more about and participating in the following activities for World NTD Day 2022:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy