Organization Name
              
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              Organization Type
              
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                The Climate Heritage Network has two categories of membership: Parties and Endorsers. For more information, consult the Terms of Reference linked above.
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              If you chose (A), please indicate your organization type.
              
             
          
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              If you chose (B), please indicate your organization type.
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Organization Summary
              
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                Please add a brief summary or description of your organization as you wish it to appear on our webpage. 
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Organization Address (Primary)
              
             
          
                
                
                  
                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please list any additional social media handles, if applicable (Instagram, Facebook, TikTok, etc.)
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Organization's Primary Point of Contact
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Job Title of Primary Point of Contact
              
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              Organization's Primary Email Contact
              
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              Confirm Primary Email Contact
              
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              Region
              
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                The Climate Heritage Network consists of five regional groups. Please indicate the region applicable to your organisation. International and multi-national members may participate in more than one region but will be requested to designate in-region representatives for regional activities.
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please describe your organization's current stance and/or actions on climate change as it relates to arts, culture or heritage.
              
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                Please be as descriptive as you'd like. For example: what have you accomplished thus far? What new commitments will you make? Do you participate in any in-depth reporting processes already? You may also share links to information.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Privacy Notice
              
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                The personal data collected in this registration form will be treated in accordance with the ICOMOS Privacy Policy. ICOMOS, as secretariat for the Climate Heritage Network, will communicate with registered participants for the event via a listserv that will be used solely for the purposes of the Climate Heritage Network. Provided you can prove your identity, you have at all times the right to access and to rectify your personal data. If you want to exercise these rights, you can do so by writing to ICOMOS at info@climateheritage.org.
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Memorandum of Understanding (MOU) Acknowledgement and Endorsement
              
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              Name of Signatory / Signature
              
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              Job Title / Position of Signatory
              
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              Date
              
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                    YYYY