WeGO Membership Form


WeGo Membership Form

1. City or Local Government

■ Official name of city or local government
■ Official name of city administrative body
■ Address
- Postal address
- Postal code
- Country
■ Official Website
■ Official Email
■ Official Population

2. Mayor / Head of Executive Authority

■ Name (Mr./Ms.)
■ Official Title
■ Email
■ Telephone
■ Term of Office (mm, yyyy-mm, yyyy):

3. Office of the Mayor / Head of Executive Authority

■ Name (Mr./Ms.)
■ Official Title
■ Name of Division/Department
■ Email
■ Telephone :

4. CIO / Head of ICT Division

■ Name (Mr./Ms.)
■ Official Title
■ Name of Division/Department
■ Email
■ Telephone:

5. Focal Point for Regular Communications with the WeGO Secretariat

■ Name (Mr./Ms.)
■ Official Title
■ Name of Division/Department
■ Email
■ Telephone :
■ Fax: