Apply

UZA MEMBER APPLICATION FORM
To enroll as a UZA member:

STEP 1 - submit your member contribution ONLINE
choose US$20, US$50 or US$250 and make a note
of the transation ID in the payment confimation

STEP 2 - complete the below member enrollment form
including your payment confirmation details

Want to know more before you sign up? CLICK HERE

First Name *

Last Name *

Email *

Password *

Individual annual membership

Contribute to the mission and vision of UZA *

My payment transaction ID is *

I'm not a member of any other political party *

I will abide by the UZA Constitution *

I am a Zimbabwean citizen, over 16 years old *

Date of Birth *

Zimbabwe National ID Number

Province *

Ward or Town *

Home Address *

Address Line 2

Phone *

How do we address you? *

Other title or credentials

Individual annual membership

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