We are pleased to inform you that the European Consumer Debt Network is currently looking to expand its member structure and is open for registration for all those, who are interested in its activities.

If you want to become a member please fill the application form below.

Application for Membership

(Organisational membership*)

Name of your organisation: (in original language and English translation)

Organisation Email

Your Name:

Your Position: (e.g. president, director, ...)

Your Email

Telephone:

Type of organisation:
Debt Counselling organisation (NGO)Debt Counselling organisation (public authority)Debt Counselling organisation (other - please indicate)Research instituteConsumer Protection organisationOther (please indicate):

Size of the organisation:

Aims and activities of the organisation:
Please give a short description of the main aims and objectives, tasks and activities of your organisation/institution and its role in your country.

In how far does your organisation contribute to fight overindebtedness and/or to promote financial exclusion

Expectations
Please let us know what you expect from becoming a member of ECDN

Contributions
Please let us know in which way and to what degree your organisation plans to contribute to the work of ECDN

How did you hear about ECDN:
involvement in the former CDN networkinvolvement in FES project/ECDN seminars 2007ECDN newsflashECDN websiteother sources (please specify)

Application declaration

I, the undersigned, representing, , applicant for membership in ECDN, declare on my honor that the information contained in the application for ECDN membership is correct and complete.

I declare that the applicant organisation
is not bankrupt or being wound uphas the operational capacity and the operational resources (technical, management) to successfully participate as an active member in the ECDNaccepts the statues and internal rules of the ECDN and supports its specific purposeand is active in the fields, listed in article 2 of the ECDN statutes

I declare that the annual membership fee of
365 € will be paid at the beginning of each calendar year. The first year of ECDN membership is free.

Name:

Title or position in the applicant organisation:

Date: