EHMA Organisational Membership Application
Thank you for deciding to become an EHMA Organisational Member. We look forward to working with you to achieving excellent health management for a healthy Europe.
EHMA has a selective membership process. All applications are subject to Board approval. Successful applicants will then be informed of the outcome via email.
Sign in to Google
to save your progress.
Points of contact within your organisation
Please provide us with contact information for the persons who will be the points of contact within your organisation.
We remind you that all colleagues within your organisation are EHMA Members and are entitled to the membership benefits. The persons you indicate below serve solely to simplify the communications with EHMA.
Title of the primary contact person
First Name of the primary contact person
Last Name of the primary contact person
Job Title of the primary contact person
Email of the primary contact person
Phone number (+ Country Code)
Additional contact persons
Please indicate additional contact persons for your organisation. For each, please include: title, first name, last name, job title, and email address. Phone numbers are optional.
Page 1 of 5
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service