Become a Member

This registration form is for not-for-profit dermatology patient organizations and groups who are interested in becoming members of GlobalSkin.

All fields marked with an * are mandatory and must be filled in prior to submitting the form.

Membership Application
Membership *
Total Amount
Member Organization Application
Please enter the name of your organization in your native language. If your organization has an acronym, please enter it at the end of your organization name. For example: World Health Organization (WHO)
Include a 100-word maximum description about your organization.
You can select one or more skin disease areas.
This can be the not-for-profit identifier number from your country, or you can send a file, such as a PDF, PNG, JPG photo of your certificate. If you cannot upload the document within the application, please e-mail it to:
Please attach an image of your organization's logo (acceptable file types are GIF, PNG, JPG, JPEG)
Please add a username to create an account. The username can be your email address. If you already have an account please login before completing this form.
Primary Contact Details