Membership Application Form

Membership Application Form

Name of your organization:

(in English)

Name of your organization:

(in your national language)


(e.g. NASPA)

When was your organization founded?


If your membership is accepted, can we add your website and logo to the Euro-HSP website?

E-mail address:

Postal address:

Telephone number:

(with country code)

Organization chairperson / president:

How many people are in your organization?

Can you estimate the number of people living with HSP in your country?

Details of your Euro-HSP Representative:



Direct e-mail address (if possible):

Direct telephone (if possible):

Type of organizational membership desired

Full (150 euros)

Associate (0 euros)

Afilliated (0 euros)

The annual fee should be paid to:

Account holder: NASPA

Bank name: DnB Nor

Bank address: Stranden 21, N-0250 Oslo, Norway


IBAN; NO8250820890792

This application form should be filled out and scanned and sent to the secretary of Euro-HSP at