Form

Personal details
First name:
Family name:
Organization:
Address:
Postal code:
City:
Country:
Contact details
Phonenumber:
E-mail:
Area of work
Area of work:	Scientist Professional¹ Provider² Policy maker/Government³ Elderly Representative Other
Sector:	Health Sport Social Other
Level:	International National Regional Local
Consent
Do you consent to publishing your details in the members section on the EUNAAPA website?:	Yes No
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Message

¹ Medical doctor, nurse, fitness instructor, physiotherapist, social worker etc. ² Public health agency, leisure and recreational centers, welfare organizations, fitness/sports club etc. ³ Physical activity, health, ageing, sport, urban development etc.