Name of the organization______________________________________________________

Address____________________________________________________________________

Tel/Fax____________________________________________________________________

E-mail_____________________________________________________________________

Web site___________________________________________________________________

Head of the organization_______________________________Tel:____________________

Contact person_______________________________________Tel:____________________

When was the organization established___________________________________________

Fields of Activities___________________________________________________________

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Mission of the Organization (in brief):____________________________________________

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Implemented projects (please indicate names, dates and donor)

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Services to be advertised in the Advertisement Clip

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Working Slogan of the Advertisement Clip

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