sign the declaration of Bonifacio

A - Signatory

Local Government organization

City

Region

Other…

Name of local government organization

Population

Territory size

km²

Address

Country

B - Local Authority Representative

Mayor or President of the local government

Elected / Official appointed by the local authority (or group of authorities) to represent it, if applicable

Full name

First name

Position

Telephone

E-mail address

Confirm email

C - Local authority service representative

Local authority service representative is different from Local Authority Representative

Full name

First name

Position

E-mail address

Confirm email

Telephone

D -Information on the water supply and treatment system

Wastewater Treatment Plant (WWTP)

Biological Wastewater Treatment Centre (BWTC)

Percentage of the population connected to the treatment plant

%

Number of cubic metres of treated water (per year):

Currently

㎥

Planned

㎥

Percentage of treated wastewater reused

%

For what purpose(s) - in percent:

Purpose(s)	Currently	Planned	Operations
Purpose(s)	Currently %	Planned %

E - Declarations and authorisations

Having taken note of the "Declaration of Bonifacio: For the reuse of treated wastewater in coastal areas", Municipality- Local Government , declares that it subscribes to its objectives and undertakes to implement them.

City - Community

declares that it

has deliberated

undertakes to deliberate

and

has

undertakes to

duly designate its Representative

Municipality - Local Government , and its Representative ask the City of Bonifacio to include it on the list of signatories of this Declaration.

F - Preparer's contact information

Name of person completing this questionnaire is different from above

Full name

First name

Position

E-mail address

Confirm email

Telephone

I authorize this site to keep the personal information that I communicate via this form so that my requests can be taken into account.

Declaration of Bonifacio: for the reuse of treated wastewater in Mediterranean coastal areas

They support this declaration