Karma

Partnership Form

Name of organization *

Gender

First name *

Family name *

Role *

Phone (including country code) *

Emergency Phone number (if different)

Your Email (required) *

Skype

Country of residence *

Region

Select image to upload:

Webiste

Founded in Year

Are you a Non-Profit Organization *

Yes No

About the Organization *

Vision and Mission *

Notes *

Your contact at KARMA *

How did you learn about KARMA *

Newspaper Internet TV Word of mouth Facebook

Twitter Xing Linkedin Google+ Others

I hereby certify that all information relating to our organisation is true and complete. *

Yes No

I herewith agree to the privacy statement of KARMA. The current privacy statement can be found on www.KARMA.org *

Yes No

I herewith agree to KARMA Child Protection Policy. The current version can be found on www.KARMA.org.. *

Yes No

Mobile Number