/ Vienna NGO Committee on Drugs/
Wiener DrogenKomitee (VNGOC)
PO Box 14, Wagramerstrasse 5
A – 1400 Vienna
Austria / Europe
ZVR-Zahl 995552988

Membership Commitment Form

From 2017VNGOC members’ membership fee is calculated according to their previous years’ total annualrevenue.

Member organisations with a previous year’stotalannualrevenue under €10,000do not have to pay a membership fee, but are required to complete and sign this “Commitment Form” and submit the completed form to .

CONTACT INFORMATION

By filling in the below information, you help keeping the VNGOC records up to date.

Full name of the organisation and acronym (if any):

______

Street address of headquarters/Postal Address (if different from street address):

______

Website and general email of the organisation:

______

Administrative Contact for VNGOC at the HQ; Position, Telephone and Email:

______

Representatives to VNGOC: Name and Email

1.______

2.______

3.______

RECORD OF ONGOING ENGAGEMENT WITH THE ACTIVITIES AND MISSION OF VNGOC:

Please list the main drug policy or practice activities of your organisation in the past year:

______

Please list your organisation’s responses to VNGOC call for comments or contributions through the past year:

______

I confirm on behalf of the organisation that it:

Subscribes to the mission statement of the VNGOC, which is “To support and facilitate non-governmental organisations (NGOs) to work with the United Nations (UN) system on international drug policy, strategy and practice.” and the Strategic Plan adopted by the VNGOC in June 2013, available for consultation on the VNGOC web site (

•Has read and supports the Declaration and Resolutions adopted by consensus at the “Beyond 2008” Forum, a project of the VNGOC, also available for consultation on the VNGOC web site

•In the past year had an annual budget below €10,000 according to the most recent annual income/expenditure accounts.

  • Has a legal and administrative organizational structure that operates independently of any organization currently a member of VNGOC or applying for membership in the VNGOC.
  • The organisation makes all decision independently of any other organization currently a member of VNGOC or applying for membership in the VNGOC, and neither shares a mandate nor affiliation with any such organisation outside of participation in a coalition or “umbrella” organisation representing independent organisations.

Signed by:______

Position:______

Date:______