European Network of (ex-) Users and Survivors of Psychiatry

Form for ENUSP Support-Member-Organisations (& Companies)

If you have installed a web-based service as pre-adjusted e-mail-application (for example Yahoo-mail or Hotmail), then our form will probably not work. In this case we kindly ask you to print the form and send it by letter (address: European Network of (ex-)Users and Survivors of Psychiatry, LAP, Vesterbrogade 103, 1.sal , 1620 Copenhagen V, Denmark , Phone: 0045 33261623,) or send the message as normal e-mail-text to enusp.info@gmail.com

If you want to become an ordinary member of ENUSP, please click here

We want to be a ENUSP support-member-organisation (& company)

Name
For the attention of		Building
Street, house no.		Country
Zip code		City
State		E-mail
Web site		Fax
Phone		Meaningful involvement of users / survivors ?
About ourselves

We will support ENUSP by giving the following donation:

We will transfer the money to ABN AMRO in Utrecht, Netherlands, Account: 534557082, Sort Code: ABN-NL 2A
Account holder: Vereniging European Network
Transnational payments: International Bank Account Number (IBAN Code): NL54ABNA0534557082, Bank Identifier Code (BIC / Swift Code): ABNANL2A
Bank's postal address: ABN AMRO, Neude, Postbus 30, 3500 AA Utrecht, The Netherlands

We prefer paying our membership fee with credit card through PayPal to desk@enusp.org

If you would like more information about PayPal before placing your transfer, visit them at www.paypal.com

Please make our organisation's or company's name anonym in that part of your book-keeping, which is open for the public.

We prefer another form of support (for example in-kind-support, volunteer work like translation, building links to media or politicians):

Only in case the donation is for a special issue:

Please confirm the arrival of our mail and of the donation not to the sender's address of this mail, but to this alternative e-mail address:

Additional remark:

In the name of ENUSP board,
kind regards
Gabriela Tanasan,