A4AI Membership Application
About your organisation
Organisation name
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Type of organisation
Why is your organisation interested in joining the Alliance?
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In which country or countries do you work?
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Address 1
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Address 2
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City
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State / Province
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Country
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ZIP code
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Primary Contact
Provide full name of primary contact.
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Primary contact's email
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Primary contact's phone #
Include country code.
Your answer
Secondary Contact
Provide full name of a secondary contact.
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Secondary contact's email
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Secondary contact's phone #
Include country code.
Your answer
Membership Requirements
Required
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