Become a CoMO Member Application - Friend Membership Form

CoMO may receive applications from individuals, companies and organisations who wish to support its aims but who do not fulfill the criteria for Full or Associate Membership. These will be welcomed as Friends of CoMO.

A Friend of CoMO is required to:

• Be involved in the fight against meningitis and septicaemia and be willing to show this publicly
• Support and/or work with a full or associate member of CoMO in their country and/or work with CoMO itself

Please complete this form. If you have any questions, please contact lindag@ichr.uwa.edu.au.

Friend Application Form

Name
E-mail
Website
Postal Address
Telephone number with country code
Fax number with country code
Please provide full details of your reason for wishing to become a Friend of CoMO and explain your work to date and expected future work and commitments with respect to meningitis.
SUBMIT