Avazya Membership Registration

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Last Name
*

First Name
*

Your e-mail
*

Your Phone number
*

Your address

Short biography
*

Why do you want to be an Avazya Member?
*

What kind of support do you expect from the Avazya Network? What further expectations do you have?

What is your background?
*

Romani film professional (e.g. director, producer, actor, editor etc.)

Non-Romani film professional (support member)

Representative of an institution (support member)

Other:

If you represent an institution, please specify:

Do you want to be listed as a Avazya member publicly on the Avazya website? *

Yes

By submitting this form, I agree that RomaTrial e.V. may save my contact details. I can revoke my membership at any time via avazya@akedikhea.com. *

I agree

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