ECLLA Membership form

Becoming a member of the European CLL Association (ECLLA) means joining a collaborative European community working to improve care, knowledge, and equity for people living with Chronic Lymphocytic Leukemia. ECLLA brings together patient organisations, clinicians, and partners to share experience, build capacity, and contribute to coordinated European initiatives. If you are interested in working together across borders to strengthen the CLL community, we invite you to apply for membership below.

Thank you for applying for membership with the European CLL Association (ECLLA)!

Which type of ECLLA membership are you applying for?

Name of organisation / individual

Country

Website (if applicable)

Contact name

Role / title

Email address

Phone/Mobile number

Briefly describe your organisation or background

Is your work related to CLL?

Why do you want to join ECLLA?

Which areas are you most interested in? (Select one or more) Which areas are you most interested in? (Select one or more) Policy & access Immune health Education Research & data Best practice exchange Networking & learning

Consent (Required for acceptance) Consent (Required for acceptance) I confirm that I support ECLLA’s values of collaboration, independence, and transparency. I consent to ECLLA storing and processing this information in line with GDPR.

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