INSCRIPTION FORM
Note: The only obligatory information are Name and Surname, current professional functions, and email
I would like to get involved in the Alternative Media Global Project. I understand that this project needs me to give contributions on a regular basis! ======Name SURNAME====== {{picture}} =====Area(s) of expertise for the AMGP===== * [specific geographic zone : country, continent, etc.] * [specific type of media : radio, press, television, Internet, etc.] * [specific issue : social movement media, community media, etc.] ===== Current professional functions* ===== * * * ===== Previous functions ===== * * =====Studies/Diploma===== * * * ===== Publications ===== * * * ===== Contact ===== * **Phone:** * **Mob.:** * **Email:** * **Address :** * **Fax :** =====Other information===== * **Date of birth :** * **Place of birth:** * **Male/Female:** * **Nationality(ies):** * **Language(s):** How did you discover the Alternative Media Global Project ? Would you give to the AMGP's administrators the right to publish these information on the wiki ? Other informations/Comments/Questions: