Healthcare Information For All by 2015

APPLICATION FORM: SUPPORTING ORGANISATION

Supporting organisations are working together towards the goal of HIFA2015: 

By 2015, every person worldwide wil have access
 to an informed healthcare provider

The names of supporting organisations may be listed on HIFA2015 publications and the HIFA2015 Campaign website: 
www.ghi-net.org/campaign 

Name of organisation	 	
Contact Person		
Postal Address		

Country		
E-mail		
Telephone		
Website		

Thank you for your support.						June 2007