HEAL registration form

If your organisation is already a HEAL member:

- Please complete the form below to create an account.

- Search for the name of your organisation and select it when creating your account.

Your account will become active as soon as it has been approved by an administrator.

If your organisation is not yet a member of HEAL:

The HEAL members platform is restricted to HEAL members only. More information on HEAL membership, including membership categories, criteria and annual membership fees, is available here.

To apply for membership on behalf of your organisation:

- Please complete the form below to create an account.

- Search for the name of your organisation. If you can't find its name, select 'I can't find my organisation'.

- Enter your organisation's details and upload its statutes or by-laws and a copy of its most recent annual accounts.

Registration

Personal details

Gender*  -   - 
Surname *
First name *
Date of birth *
LinkedIn

Professional contact details

Organisation
Address
 
Zipcode
City
Country
State or region
Job title / Mandate
email *
Landline
Mobile
Website

Send
Please note that, in line with the General Data Protection Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 :
- The data requested in this form is collected by the Health and Environment Alliance,
- You may provide partial information
- You have the right to access, amend, correct or delete the personal data we hold about you