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SMES-Europa 2017

MEMBERSHIP  FORM

      H O M E

SMES-Europe invites you to renew your membership or to become institutional and /or individual member, for support the initiatives correspondents to her social mission, for the homeless people with health/mental health problems, in very precariousness condition.   Your Membership is a very important support  in sharing and participating - as network -  in  promotion of SMES action & initiatives. (cf. www.smes-europa.org  -  http://www.smes-europa.org/D-&-WB_project_EN.htm )

 NAME:    

Function  :   

 Institution:                              

Address :                                               E-mail:    

Phone  

Mobil:

Web page:

A.  MEMBERSHIP    YEAR  2017     (Please mark category X)

individual:

30   € 

Institutional:

100

 Sponsorship ( at  less the amount of)

500 € 

 

B EXPRESSION of INTEREST   in one of these fields
     concerning SMES Action Plan  2017


   

 1.  Assistance

 

  2. Health & Mental Health

 

 3.  Housing

 

 4. Rehabilitation

 

                                                                 

                        

                    please mark with X your interest  

a)   PROFILES 2017: to participate in redaction of profiles of
      homeless people, with complex social & health/mental
      health problems, living permanently in streets/shelters,
      with a special attention for undocumented migrants.

 

b)   NET-Working  and  OUTREACH:  specific attention  to
      emergency services ( shelters - drop-in  and similar ...) ,
     
HOW  assistance  / health &  mental health / housing  /
      rehabilitation  SERVICES  
co-working & outreaching ?

 

c)   MIGRATION focus group,  concerned by European
      homeless and undocumented migrants (asylum seekers,
      refugees.)

 

Please send by email  to  SMES-Europa  this form  :  smeseu@smes-europa.org 
To pay total  amount of  …..   €     on account of  SMES-Europa:  001-3629563-93

         SMES-EUROPA   Statut : A.I.S.B.L non-profit International Association, Moniteur B.2002-01-15 N. 000620 "Arretée Royale" 10/08/01
SECRETARY :      Pl. Albert Leemans, 3 - B-1050 Bruxelles Tel./fax : (+) 32.2.5385887 E-mail : smeseu@smes-europa.org
ACCOUNT: 001.3629563.93,   IBAN: BE98001362956393,  SWIFT: GEBABEBB,   BANK :  BNP PARIBAS FORTIS,   Av.Lepoutre 68 -  B-1050 Brussels