International Humanist and Ethical Union Membership Application 1. Your organization’s contact details Name of Organization in your own language Name of Organization in English if applicable Official address including post code and country Organisation’s Telephone number with country code e-mail address Website address If any 2. Details of person who is to be IHEU’s contact with the organization Name Address Email address Telephone number Position in organisation 3. Details of another organization’s officer – eg President (you may add more than one additional officer) Their name Their address Their email address Their telephone number 1 Position in organisation 4 Organizational details How do you classify your organization? eg Humanist, Atheist, Freethinkers, Secularist, Ethical Culture When was your organisation formed? Does your organization have members? If ‘YES’ How many individuals How many organizations Is your organization registered with your government? If so please give registration number Please give your organization’s purpose as stated in the constitution 5 YES / NO YES / NO Number: IHEU membership – please refer to the guidance document Has your organization’s governing body agreed to apply for IHEU’s membership? Do you agree to IHEU’s objectives and definition of Humanism? Do you wish to apply for Associate Membership under the ‘local group’ category? If ‘yes’ which IHEU national membership organisation is your group part of? Have you read the membership rights and responsibilities? Have you been in contact with an IHEU Regional Co-ordinator? If so whom? Date of application Name of person completing this form Email address Position in organisation Send the completed form to: membership@iheu.org IHEU to complete: Membership category Annual fee 2