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Membership Signup Form
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First Name
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Last Name
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Email address
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Age
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Below 18
18-30
31-40
41-50
51-60
61-70
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Nationality
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Region
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Asia-Pacific
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Location
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Please provide the complete name of your city (not the abbreviation).
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Afghanistan
Åland Islands
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Algeria
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Anguilla
Antarctica
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Chile
China
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Congo
Cook Islands
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Côte d'Ivoire
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Cuba
Curaçao
Cyprus
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Denmark
Djibouti
Dominica
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Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
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Hungary
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India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kuwait
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Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
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Lithuania
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Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
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Mayotte
Mexico
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Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
eSwatini
How did you learn about Break Free From Plastic?
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Facebook
Instagram
Twitter
Search engine result
The Story of Plastic documentary
Brand audit activity
Plastic-Free Campus program/BFFP Youth
News article/clip
Podcast
Recommendation from a friend/colleague
Referred from another website
Webinar
Other
Please specify:
How do you want to join the movement?
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I am representing an organization/institution
I am an individual supporter
I am joining in my individual capacity and as a representative of my organization/institution/self-organized group
Why do you want to become a member of BFFP?
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Please provide a brief explanation of why you are interested in joining the movement.
ORGANIZATION INFORMATION
Position in Organization
Name of Organization
Please provide the complete name of the organization.
Organization contact email
Please provide the complete name of the organization.
Type of Staff in your Organization
Employees
Volunteers
Both
Other
Website
(If the website URL is not available, use your Facebook/Twitter/Instagram page URL)
Complete address of Organization
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Democratic Republic of the)
Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
eSwatini
What is the nature of your Organization?
Non-profit organization
School/University
Youth Group / School-based group
Community-based group
Faith-based group
Business
Government agency
Neighborhood association
Hobby Club
Other
What are your organization's areas of focus?
If your organization's area of focus is not listed above, please specify it below:
Plastic pollution
Plastics and health
Petrochemicals/oil and gas
Climate justice
Waste management
Biodiversity / marine / wildlife protection
Environmental education
Environmental responsibility
Sustainable product development
None of the above
If your organization's area of focus is not listed above, please specify it below:
Please write N/A if not applicable.
What is your organization's expertise?
If your organization's expertise is not listed above, please specify it below:
Campaigning
Policy recommendations/Lobbying
Research
Education/training
Communications
Tool/process development
None of the above
If your organization's expertise is not listed above, please specify it below:
Please write N/A if not applicable.
Which of the following ways would your organization be interested in participating in the movement?
You can choose more than one.
Join BFFP strategy discussions
Strengthening the BFFP movement, relationships between members, and recruiting new members
Join campaigns/projects/activities led by BFFP or its members
Start our own campaigns/projects/activities
Content creation / graphic design / video production
Share our expertise
None of the above
Are there any other ways your organization would be interested in participating in the movement?
Please write N/A if not applicable.
INDIVIDUAL SUPPORTER INFORMATION
As an individual supporter, how would you like to participate in the Break Free from Plastic movement?
You can choose more than one.
Join or volunteer for campaigns/projects /activities initiated by BFFP or its members
Start my own campaigns/projects/activities
Share my expertise
Writing articles / graphic design / video production
None of the above. Keep me informed
Are there any other ways that you would like to participate in the movement?
Please write N/A if not applicable.
Please provide a brief description of your expertise or relevant experience that you want us know (if any)
Please write N/A if not applicable.
Membership Pledge
*
I take the
#breakfreefromplastic pledge
and join the movement to stop plastic pollution for good.