Become a Member

This registration form is for not-for-profit dermatology patient organizations and groups who are interested in becoming members of the International Alliance of Dermatology Patient Organizations (also known as GlobalSkin).

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

Membership Application
Total Amount
Member Organization Application

Tell us About Your Organization

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.
Examples can include programming, awareness events, advocacy efforts, etc.
Check this box if your organization supports patients with all dermatological diseases. If not, please individually select the disease area(s) below.
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: nicole.sudiacal@globalskin.org
  
Please attach an image of your organization's logo (acceptable file types are GIF, PNG, JPG, JPEG)

Please share the website and social media accounts used by your organization (must start with http:// or https://):

Organization Contact Details

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