Upon completion in full, please send a signed copy of the Collaboration Agreement in PDF form by email.

You will receive a confirmation email and your organization will be listed as member of the Alliance.

By signing this form, your organization is committed to support the Alliance mission and activities at your best effort. The signature also implies that you agree on the terms described in the Alliance Agreement that you should read before signing this form.

Organization Information
fill what make sense depending on your type of organization
primary contact with the Alliance
Secondary Contact