
Version 5/17/04
The mission of the World Heart Foundation (WHF), a not-for-profit 501 c3 corporation, is to increase the global equality of high-quality cardiac care by improving access to the underserved who need treatment for heart disease. WHFs initial efforts focus on facilitating treatment for children, young adults, and adults suffering from heart disease in developing countries. To accomplish this, the WHF maintains close affiliations with the medical professional societies and organizations that represent the cardiothoracic surgery specialty and with humanitarian organizations that aid in the delivery of treatment for heart disease to those in need.
The WHF has established its Affiliates Program to enhance collaboration between humanitarian organizations and thus improve the level of care provided to the underserved. Organization Affiliates are non-profit, non-governmental humanitarian organizations devoted to facilitating cardiac care to underdeveloped countries. Individuals may also become a part of this program.
The WHF agrees to serve its Affiliates by providing centralized functions:
Affiliates agree to participate in the following collaborative activities:
Signed: ______________________ Signed: ____________________________
World Heart Foundation _________________________(Affiliate)
Date: ________________ Date: ________________
Effective until June 30 of the year signatures are complete. Automatically renews annually unless cancelled in writing by either party. Each party (a) acknowledges that the operation of its Web site will not be uninterrupted or error-free and may be subject to temporary shutdowns due to causes beyond the operating party's reasonable control, (b) retains sole right and control over the programming and content of its respective site or service, and (c) retains sole ownership and control over its respective trade name, trademarks and logos.
Fill in information below. Version 05/17/04
Organization / Individual Name: ________________________________
Affiliate Data Manager: ________________________
Title: _______________________________________
Phone: ______________________________________
Fax: ________________________________________
E-mail: ______________________________________
City/State/Prov: _________________________ Country: ____________