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MEMBERSHIP APPLICATION FORM
The Microfinance Centre  - www.mfc.org.pl - is a social finance network that promotes fairness, inclusion, equality and responsible service.
Our members and partners are guided by MFC mission and vision (https://mfc.org.pl/about-mfc/) as well as the principles of fairness, inclusion, equality and ethical service delivery. They acknowledge and contribute to the MFC’s values of empowerment, forward-thinking and mindfulness.
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MEMBERSHIP ELIGIBILITY
All organisations, institutions, NGOs, programs whose missions are consistent with the Microfinance Centre's mission statement and who agree to be bound by the Microfinance Centre Association Principles are eligible for membership.
Membership in Microfinance Centre entitles to participation in training courses and conferences at a discounted price, as well as participation in different microfinance related projects.
MEMBERSHIP BENEFITS
Membership in Microfinance Centre entitles to participation in MFC governance as well as projects and events on preferential terms. For more information on membership benefits please see https://mfc.org.pl/membership/.
MEMBERSHIP FEE
The membership fee covers the period of the  calendar year (1 January – 31 December). It covers the membership of the organisation from the country specified on the membership application and does not extend to branches or affiliated organisations located in other countries. Please see membership fee rates for the current calendar year (https://mfc.org.pl/membership/)


Bank Account:
BANK HANDLOWY S.A. WARSAW, POLAND
SWIFT: CITIPLPX

Account no in EURO: PL45103015080000000816527023
INTERMEDIARY BANK:
CITIBANK N.A., LONDON; SWIFT: CITIGB2L

Beneficiary (account name):
Fundacja Microfinance Centre
ul. Żurawia 47/49, 00-680 Warsaw, Poland
Name and email of the person completing this form: *
Data protection & electronically supplied services
Microfinance Centre has two legal forms:
• Microfinance Centre Foundation, ul. Żurawia 47/49, 00-680 Warsaw, Poland, registered in the National Court Register maintained by the District Court in Warsaw, XII Commercial Division, under number 0000101471, NIP 526 21 41 129, tel.: 789 355 261, ado@mfc.org.pl and
• MFC Sp. z o.o., ul. Żurawia 47/49, 00-680 Warsaw, Poland, registered in the National Court Register maintained by the District Court in Warsaw, XII Commercial Division, under number 0000040465, NIP 562 22 09 318, tel.: 789 355 261 , ado@mfc.org.pl,
I agree for the above mentioned entities, referred to collectively as the “Microfinance Centre“, to:
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INSTITUTIONAL DETAILS OF THE APPLICANT
Full name of the institution *
Headquarter address of (street, city, country) *
Telephone number *
Institutional email *
Website *
Facebook profile *
Twitter profile *
LinkedIn profile *
Other social media profiles
Name and email of the Executive Director *
Name and email of the Communication Manager *
Name and email of the Financial Manager (the membership fee payment letters will be directed annually to the Financial Manager) *
Please indicate the Manager who will be responsible for the relationship with Microfinance Centre *
Date of establishment of the institution (year) *
Mission *
Link to the annual report or activity report for the last available year *
Link to the financial statements for the last available year *
What are your expectations towards the MFC membership? *
REFERENCES
Please provide contact information of an authorised representative of a network/association your institution is a member of, a donor or funding institution, or another MFC member who knows your organisation
Name and email of the person providing references *
Name of the institution providing references *
What kind of institution are you? *
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