Membership Application

Use this membership page to enter your details for membership of the Zimbabwean Community Association (VIC) Association.

Applicant
Title:
First Name:
Last Name:
Address:
Suburb/Town:
State: Postcode:
E-mail address:
Home Phone:
Work Phone:
Mobile:
Profession:

Proposer
Title:
First Name:
Last Name:

Seconder
Title:
First Name:
Last Name:

By submitting this application I declare that all the information I have provided is true and correct, and if admitted to the Association, I undertake to be bound by the Rules, Regulations and Codes of the Association, as amended from time to time.