In order to be able to submit this form it's required, that there's only one single entry for you in our membership database. This will be checked automatically after you entered your first name, last name and your date of birth.
In the case the field turns red, please select your local chapter, association or hub below and follow the instructions below the field with the red background color.
All mandatory fields are marked with an asterisk *
How do you actively contribute to the ECG movement?
Select the type of organisational unit, where you are active