COP15

Full name of organisation*

Organisation type*

Organisation's address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is your organisation's mailing address different ?

Yes
No

Mailing address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number*

Email address of person submitting application*

Why do you want to become a member?*

Describe your bona fide interest in natural resource management by writing your mission statement, vision, or relevant content from your constitution*

Number of organisation members*

Number of paid staff*

President / Chair