Annual Philatelic Internet
Web Site Evaluations

1.  Applicant's Name:
2.  Street or PO Box Address:
3.  City:
4.  Postal Code:
5.  State:
6.  Country:
7.  E-mail:
8.  Telephone No.:
9.  Fax No.:
10.  Class of entry (check one):
        Individual, Group or Society.
        Postal Administration.
11.  Identification:
        Name of Society:
        Membership No.:
12.  Name of Web site to be evaluated:
13.  Address (URL): http://
14.  Brief description of site:

Statements: By sending the application, I certify that I am the site author and/or Webmaster, or am otherwise authorized to submit this site for evaluation. I acknowledge that the "FIP Web Site Evaluation Logos" are the property of the FIP and may only be displayed on a site when authorized by the FIP. Display of the relevant logo (i.e., Best Site, Top 5%, 3-Star or 2-Star Logos) must include the year(s) for which it was awarded).

Signature:__________________________________________

The form must be submitted:

1.  Send the form attached to an e-mail to "Francis Kiddle" . AND to "Marie-Louise Heiri, F.I.P." . No signature is necessary on this copy.
    
2.  For formal registration and evaluation, submit a signed copy of the form (simply print the filled out form and sign it) to the appropriate FIP national federation, together with payment of US $25 or the equivalent, made payable to the National Federation.

(FIP National Federations: Please verify that the applicant is a member or affiliate of your Federation, and notify the FIP Evaluation Committee of the application and payment, by mail, fax or e-mail as indicated above. Registration fees should be transferred to the FIP by separate action).