Join as a Hub

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We greatly appreciate your interest in joining the Geneva Health Forum 2010 as a Hub.

In order to join, please fill in the following form, ensuring that you have read the General Information, Technical Criteria and the Terms of use pages beforehand.

We also would like to draw your attention to the following points :

Once you will have sent us the form, your application will be reviewed and you will receive a notification of acceptance.
Hubs are open to anyone having an interest in global access to health and willing to contribute to making progress in this field. Hubs details will be displayed on the Registered 2010 Hubs page so that individuals can join in if they wish.
In signing up as Hub, you take full responsibility for the organization and supervision of your hub.
Categories with an * are those that will be listed on the registered hubs page

* obligatory entries

Information on the Hub
Organization hosting the hub*:
Web site*:
Hub location, street address*:
ZIP / City*:
State:
Country*:
Seating capacity*:
Other information: (e.g.: food and drinks available, parking, screen size, air conditioning, etc.):
Contact person
Full name:
Email:
Office Phone (with country code):
Mobile phone (with country code):
Contact details for hub participants (e.g. telephone or email)*:
Technical Information
Connection speed (e.g. 56kps, 1 MB, ….):
Type of Media player:
Additional comments:

You must have read, understood and agree with the Terms of Use for organizing a hub
--> Terms of Use