Membership application -  Agaptivity
This application form is for Non Swedish Citizens. Swedish Citizens apply with the 'Ansökan medlemskap Agaptivity' form (link at the end of the application) Denna ansökan avser icke-svenska medborgare. Icke svenska medborgare ansök via formuläret 'Ansökan medlemskap Agaptivity' (länk längst ned i ansökan).
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Personal information
First name *
First name / Given name / Forename
Last name *
Last name / Surname / Family name
Day of birth *
Day of birth. Year, Month, Day - YYYYMMDD.
Location
Continent *
Country *
City *
Contact information
e-mail *
Necessary information. (You email is safe with us. We will not share it with a third party or miss use it).
Phone
Membership payment
The payment for the membership can be made in three ways depending on where you live/what alternatives are possible for you. *
Agaptivity send you an email when it is time for the contribution
Required
Payment period *
Payment advice's sent monthly / quarterly / half year / year
Amount you wish to contribute with for your period. *
Minimum $5 month. Let you heart decide your contribution.
Any questions?
Do you have any questions or something you would like to share?
We will get back to you via the email you provided
Confirmation and consent
I confirm that the information I have shared  is true and to have them registered in Agaptivitys membership list. *
Your information will not be disclosed and used for any other purposes than what is presented here or in Agaptivitys statutes. The information will be used for Agaptivitys communication to its members such as newsletters, and in conjunction with the association's decision-making process . The communication will as far as possible to be done via email. The information is treated as confidential according to the PUL (that is 'the Personal Data Act' in Sweden).
Required
Payment of the membership contribution
Go to http://www.agaptivity.org/support.html You will find all information at the bottom of the page.
Medlemskapsansökan - Svenska
Gå till: http://www.agaptivity.org/ansokan.html
Thank you for becoming a member!
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