Registration form

Name of the organization
Date of Establishment

Format: mm-dd-yyyy

Address of principal office
City
Country
Telephone country code

Telephone Number

Website
Social Media (Facebook, LinkedIn…)
Organization Type
Academic Institution (universities, highschools…)
Technical Institution
Research Institution
Non-Governmental Organization (NGO)
Network in Agroecology
Producer/farmer organization
Consumer organization
Private sector
Local authorities
Decentralized governmental institution
International organization
Other: 
Geographic Scope
Local
National
Regional (e.g. Mediterranean)
Global
Country/ies in which organization is active
Purpose of Organization (maximum 3 lines)

Brief profile (maximum 8 lines)

(Please note that this description will be used in MEDAE website)

Please describe your main experiences relating to agroecological issues and practices in the Mediterranean (maximum 15 lines).

  • Experience or achievement – Country.ies – Period
  • Experience or achievement – Country.ies – Period
  • …

If you have no experience yet in the Mediterranean, please describe what type of action you are planning in the Mediterranean in the short term (next 2 years)

Please describe your interest in the MEDAE network, and how you would like to participate in MEDAE activities.

Name of the focal point
Email of the focal point