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Membership

Choose the membership path that best describes your role, then complete the application form on this page.

Join as Ally - Submit Membership Request


Agency Information
Enter Agency full name. Use between 5 and 50 characters.
Enter the representative name. Use between 5 and 50 characters.
Enter a valid phone number. Use international format starting with +, such as +963912345678, +963 912 345 678, or +12025550123. Use no more than 128 characters.
Describe the agency's areas of work. Use between 5 and 255 characters.

Geographic Scope

Do you have the desire to join the movement as a supportive ally for all advocacy campaigns and pressure tactics that would defend and demand the rights of persons with disabilities?

Agency logo (in PNG or SVG format, Max 10 MB)

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Data Consent
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