Membership Form - International Coalition for an OP-ICESCR

 

Name:                                                                 

              

 Organisation (if relevant):

Position within organisation (if relevant):

Brief Description of the Organisation and Main Areas of Work.

 (for organisational membership):

 

Email:    

Phone:                         

Fax:      

Postal Address:

FOR ALL MEMBERS TO SIGN

I/We agree to support the collective actions proposed by the NGO Coalition for an OP to the ICESCR.

 

Signed            

    Date 

 

 

SIGNATURE REQUIRED FROM ORGANISATIONAL MEMBERS

We have taken all necessary organisational actions to have our membership

 of the NGO Coalition for an OP to the ICESCR approved.

 

Authorised Signature:     

                             Date :

    Name and position :