The Med Diet Declaration: Endorser application form

Sign if you undertake to DEFEND, PRESERVE and PROMOTE the Med Diet Declaration statements.

 

Please read the Med Diet Declaration before signing. By submitting this application form, you agree with the terms and conditions of the Guide for Endorser Applicants.

    Name (This will appear in the printed version of the endorsement certificate.) (*)

    Region (*)

    City (*)

    Stakeholder (*)

    Sector (*)

    Website or blog

    Short description of your main activity (max. 500 characters)

    Why do you want to sign the Med Diet Declaration? (max. 250 characters)

    What do you expect to achieve by signing? *Select all applicable answers.(*)

    Name of the person submitting the application form.(*)

    Contact e-mail (*)

    Contact phone number (*)