Sign the Brussels Declaration

If you would like to sign the Brussels Declaration please complete the following secure form.

Note: The fields with a blue bar are required. With respect for your privacy, data from fields prefixed by a '*' will not be published.

Please allow cookies to be stored on your PC so that next time, after signing, you will be able to see the list of other signatories.

WARNING: Your email address is your unique identification for our database, so do not use a shared email address to avoid overwriting someone else's signature.